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THE Ck i'Y OF EVERET e <br />• ' Date. <br />Sketch of Proposed Sewer Connection <br />for Building Situated on Lot___ _ Block me� - <br />Uvision or Addition <br />Owned by. <br />Application and Com <br />Aemarlce:_,II4() 'Ill - <br />Depth of Sewer at Cennee11411 <br />!! t Le !!QQ <br />' f <br />Connection made the �-k�_ _day of--- / p <br />_ — Idceneee <br />I <br />_19_. Examined and Approved b./Y�_4�111� OyInN! <br />t. of SIt"1e and sewed By— - - <br />By Inspector <br />21098 <br />