Laserfiche WebLink
; <br /> �._.,1 <br /> � ky'' CHART NO. — . <br /> Q�°� everett <br /> I <br /> ��� e Y <br /> ��� -. � � <br /> �� Clty of Everett z ., �, � .(; _`� ` <br /> � TO POSTING _ - -- <br /> �� � Sewer Application and, P,,`ermit <br /> O� n 11 . <br /> ^ �I Y � � <br /> p� 1 � �� _ <br /> �y NO. 2�622 DATE Peb_�27� 1v4�___ I <br /> G~e� Service Address �ll�,��arn I.�ne Uti�ity Account No. - <br /> �w BIIIing Address 10�s �d^�e Avu . <br /> ►a� Cfty, Stale, Zip Evere[t MA 98�Q� Permit Fee $ _�.00 _ <br /> � Owner Dana �rcen Connectlon Charge <br /> Connedion by �+er _ Trunk $ <br /> Address Lateral $ <br /> __ __ Total Connection Cherge $ <br /> Phone ��-�031 _ Utility Development Fee <br /> /C� LegalDescription: Water $ <br /> � � Lot - Sewer $ <br /> ��'�i Block ----- Total Development Fee $ <br /> �r� <br /> Plat — — <br /> I ,�,�I Unplatted Descriptian: _ Sewer Bond District - - -- <br /> L� Abutting Lot Line <br /> N, S, E,W — n. I <br /> ��� <br /> �� Type ol Permlt Nw coanactlon (duplex) Approved By � <br /> Remarks <br /> Issued By �• Hushe� li <br /> � <br /> �r— _ _ Customcr Signature ----- <br /> IMPORTANTI <br /> � �� CALL 1-800-424-5555 48-HOURS <br /> � PRIOR TO QIGGING <br /> Inspaction By �-"'�'/^"'•'_ <br /> CALL 259-8810 FOR INSPECTION <br /> Date Inspected - �'" 3i "`"- _ <br /> I <br /> � SEESKETCHATTACHED NO. ZBEt�.2 <br /> IN51'FCTION <br />