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THE CITY OF EVERETT <br />/,r— ) O� S <br />r ' <br />Date_11 <br />Sketch of Proposed Sewer Connection for Building Situated on Lot <br />—Block - - - - — <br />Division or Addition_ - - �"- <br />�y%- �� _/ C%T—Owned by. <br />No.— — � <br />Application and Connection <br />Remarks:------ <br />Depth of Sewer at Connection I <br />i <br />01 <br />Connection made the �.�_ _day of - �/ 4z <br />r <br />Examined and P.pproved by ,1 /%( Olry Eoglnaer <br />/� /�//�� supt. of SUeeU and Se/"is p <br />6r .7L' -6F..yi_ ='" _i-"r. 1nrpMor 301018 <br />By <br />