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I CHART N0. l� �� �9- J <br /> everett <br /> � <br /> City of Everett <br /> Sewer Application and Permit . <br /> 25347 DATE �n�BS Z <br /> 0 <br /> N0. � <br /> c� <br /> 112]� $�a7 �'T' <br /> Service Address � � Utility Account No. <br /> Billing Address <br /> 1125 lbrth IIsoadraY Permit Fee 2•50 --�'� <br /> ni <br /> City, State, Zip <br /> finsrti, Ma. 98201 Connection Charge(s) o m <br /> 2,50 m o <br /> Nllb�rt Daai�ls�n Total Fee -i c <br /> Owner (Mortgagor) o m <br /> _ -�i <br /> Billing Name �+ <br /> .o z <br /> Connection By D -{ <br /> r x <br /> �' � .... <br /> Address Signed c�:co�< < � <br /> Phone �s���� — 0 3 <br /> � m <br /> DESCRIPTION: Sewer District m N <br /> Block � <br /> Lot�° 11-12 13 Monthly Sewer Service � rr., <br /> c �n <br /> Plat p n Lt m`^ <br /> Unplatted Description Monthly Sewer Constr. <br /> :�m <br /> _ — Trunk p <br /> Type Permit: �P'o!f --� <br /> Lateral — _ <br /> a <br /> z <br /> -� <br /> Remarks: Abutting Lot Line = <br /> Oc�.. ..-o Ca// N, S, E, N, _ ft. a, <br /> / z <br /> //, �1G�"i0if � <br /> --I <br /> M <br /> n � <br /> • m <br /> — � Z- 1 O —S i� APProved By �• R• �al <br /> City Engineer <br /> IMPORTANTI t• eona � <br /> Issued By <br /> CALL 1�800�24-5555 48•HQU RS <br /> PRIOR TO DIGGING <br /> CALL 259�8811 FOR INSPECTION <br /> Inspecti By <br /> Datelnspected <br /> SEE SKETCH ATTACHED Np. 2 J <br /> INSPEC710N <br />