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THE C,' -Y OF EVERETN Date!`J-z7-' 3 <br />3 — — -- Block_ <br />Sketch of proposed Sewer Connection for Building Situated on Lot. —t— <br />/e/ — �EvE2�Y Ce_4 Te4C_7 " - <br />Division or Addition___---- Gv ` T �Uj* <br />�l 7� ih J7rOt% .--Owned by- --- _ — --- <br />No. /vim <br />- _ _ Licensee <br />L t✓ L.__� _ - -- --- <br />Application and Connection by ----- �f /�, O Z_ DO <br />Remarks: - 1 <br />Depth or Sewer at Connection <br />4r � W (err <br />UAI <br />J <br />w _19 b 3 Examined and <br />Connection made the 3ta--dayay o <br />bupt. of Streere and Sewers Hr-- <br />—_� inspector 21382 <br />F <br />Approved by. city Engrn®r <br />