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-� 30- 2�(- 5 <br /> �� i' �� - �'' �I�';� '� � CHART N0._1 <br /> �� '_i � �� �;I <br /> evarett• �1,�' �` - - <br /> e �.,.� �; 1980 <br /> ..... _ _ _ ___ . S �� �9-So <br /> ciT�r or ��,�c��rr 4 "T �' <br /> Pur,,:� '.'i ���._: !;�:nt. <br /> City of Everett � <br /> Sewer Application anc! Permit <br /> zi��i� <br /> No. 23505 DATE <br /> 3714 lhridap 7�venna Utility Account No. <br /> Service Address <br />�' 5807 Aighvay PUc:� permit Fae 30.00 <br />� Billing Address <br /> nona <br />,' City,State, Zip <br /> Everott, Ma. 98203 Connection Charge(s)� <br /> Sezi T.arsson 30.00 <br /> Total Fee <br /> Owner (Mortgagor) <br /> Sams <br /> Billi�a Name r <br /> . j/ <br /> Connection Ey � � ,,� /������ <br /> �- , <br /> Signed l � � t i � <br /> AC�df85S , Customer <br /> 353-BS36 <br /> Phone <br /> Sewer District <br /> DESCRIPTION: 8 <br /> Lot �'�11 glock Monthly Sewer Service <br /> Plat -..�_ �..w �wa�c��n — I� <br /> Unplatted'Description Monthly Sewer Constr. <br /> Trunk I <br /> Type Permit: rtew Con+�ect�i� Lateral I ' <br /> , <br /> I Remarks: Abutting Lot Line porthend it, I <br /> N, S, E, W <br /> I <br /> — � � �� (i. Warren I <br /> _ Appr�ved By ����Engincer <br /> E. Bond I <br /> Issued By_� I <br /> Inspection B <br /> � � <br /> Date Inspected_ � �—� i <br /> SEE SKETCH ATTACHED No� 23505 <br /> INSPECTION <br /> i _ <br />