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CHART NC. <br /> everett � , <br /> e � <br /> c rv r� SE7✓T To fyq,e?l R/� <br /> City of Everett � $ � �.5 .-� ? $ � � $ $ .-� /�- so-86 <br /> w � ui �o .r .. r, o cZ q (r� m <br /> p V] t? A N ~ W � ,X U4 N �-( <br /> Sewer Appli��ion ���! t�e m %t" <br /> _ <br /> �, .. � v �? � c� � - <br /> �.i � :� � �s � c7, �3 � � `� � c� �' <br /> No. 25748 � DATE � ��+�rx o. 9es� <br /> i7o3 <br /> Service Address }�'Edgl�oor La�e Utility Account No. <br /> Billing Address 1710 - ��� rL SE Permit Fee 34_00 <br /> City,State, Zip EYe►'ett MA 98204 Connection Chargels) FY�ent <br /> Owner (Mortgagor) �� K• W�hl Total Fee 30_OQ <br /> Speclal Sewer Fae Ord. 1171-95 <br /> Billing Name ��e Yat!T - 224.00 <br /> Connection By % /,j <br /> Address Signed % /'" 'r' �� �' �- <br /> CuSromer <br /> Phone 337-4�05 �� <br /> DESCRIPTION: Sewer District 8ond II <br /> Lot 1f1 Block <br /> Plat ���=y�pd Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk FY���S�e 4 <br /> Type Permit: ry� COnnectlon prd. ����_g5 <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By A1 Theal <br /> Ciry Enpineer <br /> IMPORTANT! <br /> Issued By S. RYannan <br /> CALL 1-800-024-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259�8811 FOR INSPECTION /' / <br /> Inspection By � `-"�4 P�y�— <br /> Date lnspected �� � -�� <br /> SEE SKETCH ATTACHED N0. �`�748 <br /> IN�PGCTIO�� <br />