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CHART N0. <br /> everett � <br /> e �ilding 3 <br /> City of Everett <br /> Sewer Application and Permit <br /> No. 25239 DATE �Pte�nber �, 1985 _ <br /> 11201 3rd A�enu� S.E. Utility Account No. <br /> Service Address <br /> P.O. 8ox 3085 Permit Fee 30,00 <br /> Billing Address <br /> City,State, Zip �Ltle, Ma. 9611a Connection Charge�s) — <br /> Owner (Mortgagor) �°�� p�ific Dev. Co. Total Fee 10.00 <br /> Billing Name <br /> ; ; <br /> Connection By d �', � <br /> Address Signed ` ��-{��' � ���' � <br /> Cusiomer <br /> \ <br /> Phone �z9"5656 <br /> DESCRIPTION: <br /> Sewer District �a I I <br /> Lot Block Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: N�w �ection <br /> Lateral <br /> Remarks: tnildina 3 Abutting Lot Line <br /> N, S, E, W_ ft. <br /> Approved By A• R. Thoal <br /> CiW Engineer <br /> Issued By E. Bond <br /> Insp?ction By �� <br /> Date Inspected � —Z`'�� <br /> S[E SKETCH ATTACHED N�• Z5239 <br /> INSP[CTION <br />