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everett <br />e <br />City of Everett <br />Sewer Application and Permit <br />No. 23905 <br />Service Address_ <br />Billing Address_ <br />City, State, Zip_ <br />Owner (Mortgagor) <br />Billing Name_ <br />Connection By_ <br />2/18/81 <br />DATE <br />4526 Federal <br />4526 Federal <br />SVerett, Ma. 98203 <br />Luther Child Center <br />Sate <br />259-1115 <br />w,ww.ww®ri+�r�tlEf+iTdRRS.YMTI�= �f11Y'.]�I�T1T1M� <br />CHART NO. <br />Utility Account No. <br />Permit Fee 90.00 <br />Connection Charge(s)_ <br />90.00 <br />Total Fee <br />ordinance 715-90 <br />Area I 2210.49 <br />Signed <br />Customer <br />DESCRIPTION: <br />Lot Block <br />Plat <br />Unplatted Description L 31 29 5 <br />Tvpe Permit: New Connection/5 catch basins <br />Remarks: <br />i <br />SEE SKETCH ATTACHED <br />INSPECTION <br />Sewer District <br />Metered <br />Monthly Sewer Servire <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved B <br />Issued By <br />Northend <br />n. Bouahey <br />R. Bond <br />Inspection B L / <br />Date Inspected ��yo <br />No. 23905 <br />