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THE CITY OF EVERETT <br />L/ <br />Dated <br />Sketch of Proposed Sewer Connection for Building Situated on Lot-__ . --t/ ✓_ e, _ <br />Division oa�r// Addition- l � �48 •- r_ __ -Block <br />No.--- l i�s-- �V �� _Owned by_ - <br />Application and Connection by- _ _i �% t a `" `J <br />Remarks: Roc # -% 142 a <br />Depth of Sewer of Connection <br />I <br />I <br />I 31228 7 <br />Connection made the - day of ..•'° �� 19 Examined and Approved by..���.(�_ <br />city Engineer <br />Supl. of Slrsele and Seeven By <br />i <br />BY_--_.— <br />