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THE CITY OF EVERETT <br />Sketch of Proposed Sewer Connection for Building Situated on Lot Date /(j_�. <br />Division or Addition_. <br />No._ - - -j d - - - - -Block. - - - — <br />� <br />- Owned by ,. � � r <br />Application and ConnecBon by_.L1, - <br />e <br />Depth of Sewer at conner:eoa I <br />�i. <br />r) . <br />Connection made the. (_ day of <br />Rec. 't <br />in <br />19�y . Examined and Approved by_ <br />Supt. of Streels and Sewen city Engineer <br />Inspector 2 V J o n <br />