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everett <br />� <br />City of Everott <br />� <br />� <br />� 38� <br />��� <br />Sew�r Appl�catian and Perrr�� � ~ ; <br />o ����; <br />N0. Zv262 DATE �lp 8. 1987 � "�� i <br />ServiceAddress 5022 Dowr it. Utility!!,ccount <br />Billing <br />City, State, <br />wze �s iescn <br />Mattl�. MA 98155 <br />Owner (Mortgagor) �O°�� S• ��r <br />Billing Name �� <br />Connection Bv- a� <br />Address <br />DESCRIPTION: <br />Lot 10 Biock <br />Plet s8�oez s�laLt� <br />U�platted Description <br />Typa Permit: 11w Oe�n�etiun <br />Remarks: <br />IMPORTANTI <br />CALL 1-800d24-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259�8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />CHART NO. <br />Permit Fee 30.00 <br />Connection Charge(s) �=ra+t v�r �a. 1 ord 1171-eS <br />To�.al Fee ]0.00 <br />Sp�cial OillitT tN, Osd. 1171-85: - <br />�r+L�r 224.00 <br />Signed ^ `~ <br />cu:rome. , <br />SeHer District �d II <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Abutting Lot Line <br />N, S, E, W, <br />Approved By ALPIt� �. THi�L <br />ci,y Enqineer <br />Issued By �4�t B. llci,wd <br />Insper.Kion By�f/��V <br />Date Inspected �� � "'t 7 <br />No. 26262 <br />INSPECTION <br />