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��� CHART NO. <br /> q � everett <br /> ��� � / r�- �l,,t r'�, y. �- , . - q � <br /> �p e � � <br /> M �'+tl I _ <br /> i City of Everett <br /> x ( <br /> ��� I . . . I <br /> Q�g j Sewer Apphcation and Permit � <br /> Zyy� � <br /> r f+ No. 26685 DATE r.�2p, IOpN <br /> g" � <br /> � �w r <br /> � � Service Address ' Utility Account No. <br /> p y Billing Address �oa +���4��^•�-++ r.� cr a, Permit Fee 30.00 <br /> City,State, Zip_�otL�ll, Mo� 98U32 _ Connection Charyeisl I <br /> Owner (Mortgagor� +n....�uty��p�..t Total Fee ____ �0.00 <br /> I <br /> � BillingName �..�. Ord1171-85r <br /> rabr 1,075.00 <br /> i Connection By r,����y Cnnatcuctlnm, Snc saw�r �d$4:�.0�27.00 <br /> r <br /> � <br /> � Address �u�� n..�ti�,i 1uy s¢ �7 Signed <br /> � BOt11l11� MA 98017 cm�ome. <br /> I Phone qg+-oo��_ <br /> _ � ii, '.'.. i;r, I::;.�Y� iM0.htNl%r�:: ii " <br /> � DESCRIPTION: Sewer District <br /> ���1` I Lot Block :;i�p�`'�"�•Vu <br /> I � I �'-"r —��— Monthly Sewer SerJi�i ' �� c ti.'a� <br /> � I Pie[--.A4�Yi�1J�1�-addfY�10N--- 141 f y� b 195.68 I <br /> UnplattedDescription MonthlySewerConkklN'�t' 11:1�,^..95 <br /> � �� 19'1.:.0 �11K:'.;1 � <br /> - Trunk �.inat u�n <br /> TYPe PermiL Nev conn�cilQn I <br /> �a.ii, ��",i..iy� <br /> Late�al n 1�; +:�7n.nn <br /> 1� Remarks: �H:H �:1r,.tl1 � <br /> Abutting Lot Line��1� �7i 9.l"!'i,K, � <br /> N 5 E WU S�FT.JI i:i.'A1 it. I <br /> �1� I�. S4'f.H �IU.qI <br /> j',i n]l I.'I�7t1.` � <br /> �� i71� ��� ��,��:,i::i � <br /> illJ�, i. �rll.11il <br /> j �"� I ApProvedBy �4� n c_'��. <br /> �1 ' � --TCi M9 ncer + �- I <br /> II IMPOFlTANTI � '+•�.II .lU.tx) ' <br /> Issued B �� �'�8te�+e � <br /> I �� CALL1A00-024�55548�HOURS Y � `iFR�. :�A�.i�� i' <br /> iI PRIOfl TO DIGGING �171- '� i�it�.11l <br /> � ��iiuo- ' � <br /> - CAIL 259�8811 FOR INSPECTION �� � � ;-<�� �K� <br /> �, . . <br /> � Inspection By�"S�s7�' �`�•�q� �I <br /> ' -- -- -- ---- - ----- Date lnspectad '�1�'t" ��i�'•',� I <br /> ' 26685 � <br /> SEE SKFTCH ATTACHED �a��f� N01• � <br /> � idil , I�.:.'; .'��� I <br /> li::.i'i i:llOf�l <br /> i <br /> � <br />