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everett N�� <br />� `i-iy-2�o <br />City of Everett <br />Sewer Application and Permi� <br />NO. 23�j�2 DATE 3/25/80 <br />l7CZ� 1'!10 A-B LexingWn 7►ve. <br />Service Address_ <br />P.O. AOX :175 <br />Billing Address__ _ <br />Sverett, pa. 98203 <br />City, State, Zip _ <br />Olin SrotheSe Iee. <br />Owner (Mortgagor� <br />sa,� <br />8illing Name <br />Connection By <br />pddress <br />353-4753 <br />DESCRIPTION: <br />lot 1a-14-15 glock 1 <br />Plat p�°ti�st <br />Unplatted Description <br />Type Permit: Nea Connmction <br />CHARTNO. � S-2a �S <br />� .r�� •� � <br />�/r <br />'ii' :'. `� ► M� <br />Utility Account No. 14627-5 <br />Permit Fee 30.00 <br />677.50 <br />Connection Charge�s) <br />Total Fee 30.00 <br />�� <br />,, / <br />Signed l -:.i�,�.,.� / � �-' '-"'�-� <br />Customcr <br />SEESKETCH ATTACHED <br />INSPECTION <br />22 Bond II <br />Sewer District <br />Monthly Sewer Service_ Mstared <br />Monthly Sewer Constr. <br />Trunk 1.15 255.00 <br />Lateral Z•ZS 42�.50 <br />Abutting Lot Line 75 <br />N� S� E� W-- <br />Approved By �. p��n <br />City Engincer <br />8. Bond <br />�ssued B <br />.� <br />i � <br />Inspection By _ <br />Date I nspected�� � <br />rvo. 23552 <br />