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4r / r � W <br />THE CITY OF EVERETT Date <br />Sketch of Proposed Sewer Connection for Building Situated on Lot 4g- - - <br />Division or Addition- 51-1A Uin r---+s Block <br />No.-__ /O p C- ' H4 S T -----Owned by_ I• _ t-, !, •_fit lrrtLL-- -- _--- <br />Application and Connection by- t 3A <br />8- p o <br />Remarks:-_L0_.___ - — <br />Depth of Sewer if Connecnoo <br />4 " p fJ+vw— � t <br />`71 P A- rJ� r �*- �` • <br />y." <br />tih <br />Connection made the. oZ day of- _ ____. _ _—.__ _19V S . Examined and Approved by_.FQC. J1 r'r, <br />_ city EnOmea <br />,,77 r <br />_ Supt. of Streets waEd weM74 By Ce <br />tn.p.ner <br />