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� <br />� <br /> CHART NO. <br /> everett <br />� e <br />� <br /> City of Everett <br /> Sewer Application and Permit <br /> NO. 23614 DATE �++� 3, 1980 _ <br /> Service Address llu p�ific Utility Account No. <br /> Billing Address <br /> �626 I�nnwod Dc'iw Permit Fee 2.50 <br /> Ewrelt, Ma. 90203 Connection Charge(s) <br /> City,State, Zip - <br /> Gorden H. Dntis 2.50 <br /> Owner (Mortgagor) fotal Fee <br /> Billing Name � B' ��� <br /> Connection By �Y"a�ft , i <br /> P.O. �oac 363 Signed �' �/� � <br /> {{(�dfC55_ ,stomer <br /> ��l�jp, �. 98275 <br /> Phone - <br /> DESCRIPTION: Sewer District <br /> Lot 16-17 Lus It 15��ock �Z� <br /> Monthly Sewer Service <br /> Plat �� �� nt��g — <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk ' <br /> Type Permit: Cap-off <br /> Lateral__ <br /> � <br /> Remarks: Abutting Lot Line <br /> _ N S E W ft. <br /> NGw 3�D v ' �/ <br /> N C �'��vF' ^�.� � yi � <br /> g, paLran <br /> Approved By <br /> Ciry Engineer <br /> E. Eond <br /> Issued By <br /> Inspection By <br /> Datelnspected <br /> SEE SKETCH ATTACHED N0. 2361� <br /> INSPFCTION <br />