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CHART N0. <br /> �— Ievereri <br /> e <br /> City of Everett <br /> Sewer App���ation and Permit <br /> rpril 19. 1980 <br /> ��0. 24828 DA'E —_-- <br /> Service Address <br /> 9417 2nd Drivc S.B. Utility Account No. �637G^3 <br /> 1429 Brc�nchray __._._ <br /> Permit Fee 30.00 <br /> Billing Address_. 3'.f0.00 <br /> � Evuratt, Ma. 98201 Connection Charge(s)__ <br /> City,State, Zip 30.00 I <br /> pwner �Mortgagor) BO��° �alty, Inc. Total Fee__-- <br /> Billing Name I <br /> Connection Fty <br /> Signed�—��s���n�, I <br /> Address_ <br /> Phone �52-11G6 I <br /> Dond III <br /> Sewer District �I <br /> DESCRIPTION: 6.50 <br /> 25 Block Monthly Sewer Service I <br /> Lot= <br /> Plat z�[ S -- "2� i _ ~ <br /> Monthly Sewer Canstr. �; <br /> Unplatted Descriptio" 330.00 � � <br /> Trunk <br /> Type Permit: Navr Connection Lateral_ I <br /> H '~' <br /> Remarks: Abutting Lot I_ine ft I N � <br /> N, S, E, W il � <br /> _ m � <br /> i � t <br /> i � <br /> I � rApproved By n• R. Theal <br /> Cny E�gincer � p � <br /> � C ' <br /> E, BORd _ I � � <br /> ISSUC(I By --- "� � <br /> I O Y� <br /> t1 ` I,I � <br /> Inspection BY � 1 ��"�� � � <br /> �.L _� � � � �� <br /> _J Datelnspected — ` <br /> rvo. 24828 II � t= <br /> SEESKETCH ATTACHED r <br /> INSPECTION I <br /> � <br /> ; <br />