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CHAFiT NO. � <br /> !11lflit <br /> � .S'F.r�T�� C�Yd.c'T„�G !/z3/?L <br /> Chy of EwKtt <br /> Sewer Application and Permit <br /> No. 254�3 DATE ��� S� 19R6 <br /> Service Address �p �pl� _ Utility Account No. <br /> Billiny Add�ess 1u0 {h��� Permit Fee an m <br /> City,State, Zip p�tt MA YR201 Connection Charge�s) <br /> Ovmer (Mortgagor) r--�-• i�� Total Fee Ip„M <br /> Sa� Dwalop�ent Fee OM 1171-85 <br /> Billinu Name �--- Matef' 152.00 <br /> SawN� 400.00 <br /> Connection Bv 0. � ■-- �-- � � <br /> Address Signed � � <br /> customer�^ <br /> P�10O@ _;�..��1 _ — <br /> DESCRIPTION: Sewer District <br /> Lot�_ Block Monthly Sewer Service — <br /> Plat�1t�'it�Di• "7' <br /> Unplatted Description Monthly Sewer Constr. <br /> - Trunk <br /> Typs Permit: Nr� �oM�ttlon <br /> Lateral <br /> Remerks: <br /> Abutting Lot Line <br /> N� g� E� yy h. <br /> Approved By <br /> nv oyioee. <br /> IMPORTANT! <br /> Issued By $ Qry1111�D <br /> CALL 1�SOOal24•5555 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL 269-8811 FOR INSPECTION —�� � <br /> Inspection qy�" "���'/m�" <br /> Date Inspected y �y—�6 — <br /> SEE SKETCH ATTACHED No. 254�3 <br /> INSPcCI'ION <br />