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CHART N0. <br /> everett <br /> e <br /> City of Everott <br /> Sewer Application and Permit <br /> No. 26�44 DATE Ja^rary 26, i9s� <br /> Service Address 492� tA/eeet Il� Utility Accaunt No. <br /> BillingAddress 13029 Bnth�11 •- PermitFee jp,M — <br /> City,State, Zip��tt MA 9a208 Connection Chargels) 72j1 ^^ <br /> Owner (Mortgagor) Total Fee 1p.,M <br /> eilling Name -s� Spat1�1 UN11ty F�e Ord. 1171-86 <br /> wt�r 22+.00 <br /> s�wer 589.00 j <br /> Connection By Sa� ' <br /> �b i <br /> + ,.Address 1�029 soth�lt Ya� Signed <br /> Cuttomer <br /> � Phone ++� �eeo <br /> 1DESCRIPTION: Sewer District_{ppQ_!� <br /> Lot,_.��{ Block Z Monthly Sewer Service_ <br /> Plat S Of��,Q�;P�S f�V/1 <br /> Unplatted Description_ Monthly Sewer Constr. <br /> Trunk <br /> Typa Permit: <br /> Lateral <br /> Remarks: _ Abuttiny Lot Line <br /> N S E, W . , ^ tt <br /> , <br />, �MMJUIib�' <br /> NLl�l3 fe7�.al <br /> n.Na s•ro.ou <br /> Approved By_��` ' ^pe <br /> `l�' a0 <br /> IMPORTANTI L ,FC}� 115.W <br /> Issued By Il�'V�N 4'd7.0U <br /> CALL 1�00�424-6656 48-HOURS d <br /> PRIOR TO DIGGING IY11F�'i t4W.lq <br /> HOOIIi <br /> CALL 269�8811 FOR INSPECTION �_- . , ��3 �p <br /> Inspection B �°� <br /> — u•ri-5 siz � 7 <br /> Date Inspected ncru <br /> SEE SKETCH ATTACHED Np, 26044 <br /> INSPFCIION <br />