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CHART N0. _---- <br /> everetl <br /> e <br /> City oi Everett <br /> Sewer Applir,ction and Permit <br /> NO. ZS1B� DATE — �/19/85 ---_ _— — <br /> 1901 Ih�t Gtino AoaE Utilit Account No. <br /> Service Address 1' <br /> Billing Address <br /> P.O. Hoat 367 Permit Fee �'�� <br /> City,State, Zip �i1Go, Ma. 98275 Connection Chargels)_. <br /> 1.50 <br /> Owner �Mortgagorl_31o��+�Iunq�so — Total Fee _______._—_-- <br /> Billing Name <br /> Connection By /� � <br /> � <br /> Address Signed �"7� —� <br /> c�����, � <br /> Phone 3SS—�1% _ <br /> DESCRIPTION: Sewer District ____ <br /> Lot Block_ <br /> Monthly Sewer Service__._—___ <br /> Plat <br /> Unplatted Description Nosth 180' of 7Yact 3� Monthly Sewer Constr. <br /> 6nrrly Mer� YY�at� Di�. i2. Luccapt 1h/t 20 fMt <br /> — Trunk <br /> Type Permit: �y�ot�_ <br /> Lateral <br /> Remarks: <br /> Abutting Lot �ine <br /> N, S, E, W ft. <br /> A. A. Thesl <br /> Approved By <br /> C�iv Enginrer <br /> ! t. �IOIIJ <br /> ?� Issued By — <br /> � ., <br /> 1 <br /> Inspection By_-- — --- --- <br /> Datelnspected__ <br /> SEE $KETCH ATTACHED No. 25184 <br /> ��il`d'1 Cll(ir� <br />