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��_ �i � ��2 1 _�9 CHART NO.S.`I t�=� `�' �— <br /> everett <br /> � .C. , �- ��; J 7 t`:'. T <br /> , � , <br /> , • ,7 , <br /> ,,, <br /> ' � t� I -, /:j �_ <br /> City of Everntt I <br /> Sewer �►pplication and Permit <br /> No. 23255 onTE ----- --- <br /> ----_ ----- <br /> Service Address_aG a �/ � `-n�Q-�'�'�""" Utility P.ccount No.— ------ <br /> _ r��..,._. � _ <br /> Permit Fee__<--. <br /> Billing Address_— - <br /> Connection Chargels)_ - <br /> Cily, State, Zip._— --- <br /> Owner (Mortgagor) ✓�o^tiT"' - _ Tot�d Fce_ _ i �'-1�-�'"� <br /> Billing Name, — -- <br /> Connectiun By — - <br /> Signed__ . . . .. . ._. . _ ____._ ---- <br /> Address _ - ��'""""" � <br /> Phone — --- -------- <br /> Sewer Disirict----- - ___------- <br /> DESCRIPTION: <br /> Lot Blor.k__--- Monthly Sewer Service_ _ __- — <br /> Plat -- -- <br /> Unplatted Description _�Y---�- — Monthly Sewer Constr. <br /> --- — Trunk_-- --- ----- <br /> Type Permit: ___ <br /> — La[eral <br /> Remark��.�/ [ /4s2� - Abuttiny Lot Line <br /> N 5 E, W _ -__ ---it. <br /> )/ --- ApPioved [3Y— ----- <br /> � (O J` ✓G� Gry Enginrr. <br /> � — <br /> . ISSUBd BY — , — <br /> --- �— <br /> / , � <br /> _��a � �O/�� „ <br /> i / <br /> � � f/L%a-• <br /> -- -- Inspection By� — <br /> ------------ - --- f�' J L_�— -- <br /> ------ -------- ------ — -- . <br /> Datelnspected___ _-_-- - <br /> SEE SKETCH �TTACHED N�� 23255 <br /> �r1;1�L�. I�c�r+ <br />