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� <br /> City of Everett <br /> Sewer Applico�oon and Permit <br /> No. 26897 onTe o�cAee= u, i9ea <br /> Service Address ,40����` Utility Account No. <br /> Billing Address Z�� ��nP M+T Permit Fee 3�•� <br /> City, State, Zip_ �llawe, MA 98001 Connection Charge�s) �e <br /> Owner (Mortgagor) ���d'• �rP• Total Fee ;�•� <br /> g� Ord. 1171-85i <br /> Billing Name watar �86.82 <br /> Connection 8y eevaz 1l76.16 <br /> �1962.98 l^J��i"!',f1 .��SFN �'+N36f'.0 lY. <br /> Address Signed - _ � + ��- <br /> + Cu Y4! .. <br /> Phone G�'T.�U �:t'�'S'..`k3 <br /> FW f'�: l61.C5 <br /> DESCRIPTION: Sewer Distrir.t r'Unis�' `"-�7.� <br /> Lot Block � �`�` <br /> Pa�k D eloe]c 11 ot Clitrx Lnd fb Monthly Sewer ServiL��' ���3•�'� <br /> Plat PI �; 15�:. ,, <br /> Unplatted Description l�t 71dQ. Monthly Sewer C�nftN.�ti7� ���•� <br /> E SF.Y:II .i5.Q0 <br /> Typ= Permit: Trunk ���`� ^ _ <br /> lfh► coa�naotioe '1 R .1�UU.U) <br /> Lateral �'�!�'�tPg7 <br /> - . . �.� . <br /> Remarks: Abutting Lot Line 1171-5 :1!'b�.iE <br /> N S E W GiEl�; i.`A�49.44 ft. <br /> Approved By 1►LfRED R. TBBJ►L <br /> City Engineer <br /> IMPURTANTI <br /> Issued 8y N�reaz'�t 8. tteLeod <br /> CALL 1-800-024•55fi5 48-HOURS <br /> PFt10R TO DIGGING <br /> CALL 259�8811 FOR INSPEC i�ION <br /> Inspection Dy — <br /> � Datelnspected_ _ <br /> SEE SKETCH ATTACHED N�• 26�$7 <br /> li JSPECTIOi`1 <br /> --- ---- -- ---- --- - � __._ <br />