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THE CITY OF EVERETT <br />Date _ <br />Sketch of Proposed Sewer Connection for ➢uildinc Situated on Lot --" <br />Division or�SLAddition- _ — -------hBlock <br />�j-- <br />No.- E--®�_- - —_/ Owned by `� e_t4 d _ /1_o-^)JC 14 7- <br />—_ <br />Application and Connection by_ -- - --_. - -- -- — - <br />Remarks:_ - - --- -- — - I <br />Depth of fewer nt Conn.,.non I I I t <br />I /p <br />Connection made the. day of _ 19Examined and Approved by <br />Supt. of StrNu and Sewers BY_ <br />30265 <br />Inspedor <br />I_ <br />Clry En�toeer <br />