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everett <br />e <br />City of Everett <br />��,� � <br />��� � !�; �� [� �.�� �� I;;, <br />�r_ <br />� F d 2I 1980 <br />... .........� ...... . .................... <br />CITY OF EV[RETT <br />Public �VorDs �cpt. <br />Sewer Applicction and Permit <br />No. 23503 <br />DATE �n0/eo <br />Service Address 5711 71 c 8 8o1T151 2ed ���� <br />Billing Address »�3 71 N.B. <br />Na=y�ill�. Ma. 98270 <br />City, State, Zip <br />Owner (Mortgagor) <br />Billing <br />Connection <br />Iia1Ph Sa�=� <br />Ralph So+n <br />palph snazo <br />34�-�209 <br />CHART N0. � 5�� � <br />Utility Account N <br />Permit <br />1�599-5 <br />� �� <br />677.50 <br />Connection Chargels) <br />30.00 <br />Total Fee <br />Signed r.�smme� <br />16 Hond II <br />Sewer District <br />DESCRIPTION: <br />Lot Block Monthly Sewer Service. <br />Plat <br />Unplatted Description <br />• 70' of th� N• la0' of tM M12C' �onthly Sewer Constr. <br />v�eabd elodc 41: Saith's l�t J1�d�° Trunk 1.15 <br />. 2.25 <br />SEE SKETCH ATTACHED <br />INSPECTION <br />4butting Lot Line <br />N, S, E, W <br />M�t�r+A <br />]55.00 <br />tSX 421.50 <br />70' <br />8. Nar7c�n <br />Approved BY ���� Ene��cer <br />E. Eona <br />Issued By <br />Inspection � <br />Date Inspected .� � �� <br />N�. 23503 <br />