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�r .� <br /> � <br /> CHART NO. <br /> everett <br /> � e l , <br /> City of Everett <br /> Sewer Application and Permit <br /> N0. 24143 DATE 1/1�/B2 <br /> 7t06 Ca�cede Driv ll1�1(�1d[71k 76102–] <br /> Service Address Utility Account No. <br /> Billing Address ��41 Cateado Dri�� P¢rmit Fee �0.00 ; <br /> i Cit State, Zi E�er�tl, Ma. 96207 720.00 <br /> Y. P Connection Charge�s) <br /> Lloyd R. Cut�r 30.00 � <br /> i Owner (Mortgagor) Total Fee i <br /> � Billing Name_ _ �Le:p=nc• /722-80 � <br /> ]39.00 i <br /> � Connection By <br /> IAdd;ess Signed � � <br /> 353-8552 cusinmer I <br /> Phone_ I <br /> DESCRIPTION: Sewer District_ II �O°d � <br /> � Lot 3� Block_ 6.50 <br /> � Plat _ e���rlv Park Monthly Sewer Service <br /> � Unplatted Description Monthly Sewer Constr, <br /> Trunk =•2S �70.00 I <br /> � fype Permit: Nar Conn�akion � <br /> I _ Laterel �•�S 450.00 I <br /> i <br /> Remarks: <br /> I " - Abutting Lot Line , <br /> , I _ —�_ N, S, E, W ft. ' <br /> i <br /> I I <br /> Approved By �• R. Th�al � <br /> cuv eoy�oea j <br /> E. lOad I <br /> Issue�i By _ <br /> I <br /> � -- I <br /> L <br /> � � <br /> ► ' <br /> Inspection By _ I <br /> Date Inspec•ed _ i <br /> SEE SKETCH ATTACHED � NA• 24143 � <br /> INSPECTION � n��� � � <br /> t � <br />