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1IC6 <br />~ F" THE CITY OF EVERETT Date--? <br />Sketch of Proposed ewer Connection for Building Situated on Lot- <br />/S. . " •> e-- —stock -- <br />Division or'ALddition_._QM <br />_�_�--.- -- - <br />7L�:-IG?_ __S --- Owned by <br />N�._—. <br />Application and Connection by _. <br />Remarks:_ <br />Depth of S.ae, at Conne:ilon I I _— <br />J <br />��--� <br />„ „C+_ onnection Fee $ <br />'Syr `C.•../u--_,r_.1 <br />Connection made the day of--- <br />$ <br />Total Fee $ I 1 <br />f 1--�—' <br />31968 <br />197L. E:a.ntned and Approved by,_ <br />..�' city valineer <br />C <br />kr <br />Supl. of Sawte and Sewers DT_____. <br />j y-�� `• <br />