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0 <br />9 <br />. <br />. <br />everett <br />e <br />City of Eve►ett <br />, � , . , � , <br />Sewer Application cnd Permit <br />NO. 23810 DATE 11/12/80 <br />Service Address �105 &aiai�r <br />Utility Account <br />Billing Address 2105 Ralaias <br />8��r�tt, Ma. 98201 <br />City, State, Zip <br />Permit <br />CHART NO. F �-�'� <br />10.00 <br />Connection Charge(s) <br />10.00 <br />Owner (Mortgagor) Total F <br />���S,i.n ��_Z3�� <br />(SV-- <br />Billing Name <br />Connection By saoAoii�h Connty Szca�atinq <br />5707 snaar�lAs Blyd. <br />Address Signed -� <br />659-21�7 xarp�� � customer <br />Phone <br />DESCRIPTION: <br />Lot S� �-all 5 glock 4d2 <br />Plat Capitol 8111 <br />Unplatted Description <br />SEE SKETCH ATTACHED <br />INSPFCTI�N <br />Sewer District <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, W_ <br />Approved By �• $ouehQy <br />Ciry Engineer <br />E. Bond <br />Issued <br />�� � <br />Inspection By�KELLE�cw/W 6 I <br />)ate Inspected �Z N�V 1 y�,p i <br />rvo. 23810 � <br />