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CITY OF EVERETT <br />UTILITIES <br />PERMIT <br />'I POSTING <br />Data: 12/15/94 CMWO 0: <br />service Address: 2717 PBDBRAL AVB _Change Request <br />Billing moms MILLER STM <br />B'_lling Addrosss 3809 BROADWAY <br />City, state, Zips BVBRBTT MA 98201 <br />Phonesxx <br />Legal Descriptions ILotnta0 elk 0 Addn:Prono. of Units: <br />WATZR SZRVICB <br />B.O. no. 0 Application No. <br />Pined: Deposits <br />Svc. Bite: Svc. Typo: <br />Better Installation Data By <br />Motor No. Size Brand_ <br />Motor Installation Date By <br />Water On Off Locked Out By_ <br />Remarks:— <br />TBO <br />SZWZR SERVICE <br />Permit.Typos CAP OPT LID No.: <br />systems Dewlopzent PNs: <br />tsater <br />sewor <br />Bond III Connection Charge: <br />Trunk <br />Lateral <br />Remarks: <br />AMERICAN DISTRIBUTI!4 <br />Inspected by <br />0 <br />Water Permit Pas: <br />sewer Permit Pee: <br />$0.00 <br />0.00 <br />TOTAL: <br />$0.00 <br />0.00 <br />TOTAL: <br />—.2( - f <br />Am01M <br />$0.00 <br />$10.00 <br />$0.00 <br />$0.00 <br />Is $10.00 <br />1 <br />DEC i�,1998 ' <br />Pike Works Copy <br />�arvices <br />