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� I I �� �� <br />� I � �i <br />Sewer Ap�li�cation and Permit <br />' 29469 <br />DATE 9/2/93 <br />Service Addrese �421 101�t 6t AE <br />Bllllrp Address — 10711 1'vartt��n p� <br />Clty, Slate, 21p Bt�rrtt MA 48204 <br />�1Mnet �� t L a.�t 1 d�r. <br />Connectlon by _ ___ <br />Addreea <br />Phone _ <br />Lepat Descrlptlon: <br />�,� s <br />A�odc <br />Plet Si��ahow�t W <br />Unplatted Deecriptlun: _ Sewer Bond Dletrict <br />_ Abuttinp Lot Line <br />Utlliry Account No. <br />Permlt Fee s <br />Connection Charpe <br />� <br />Tn nn�Ti�G �(� <br />Trunk � a <br />Lateral s <br />Total Connectlon Charpe S <br />UtilNy Development I ae <br />70.00 <br />-a <br />Weter s 179.00 <br />sewe► a 4i1.00 ' <br />Totel DevbbpmeM Fee s 650.00 <br />Type of PArmk ►�r aon��ccion <br />Remarke <br />IMPORTANTI <br />CALL t-80II-42+.5555 48-HOURS <br />PRIOR TO DIGGlNG <br />".1LL 26Y-8610 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />— N, S, E. W n. <br />— Approved By <br />— Isaued By b <br />r^ _. <br />— Cuatomer Slpneture � <br />� — <br />� " � � :� :, r; � � � �? <br />� ' � ,�'� � �' � � s <br />-� <br />� � t <br />N � � �Y ' Z' y1 , ,;I <br />N ,t, OJ <br />��� � �r � ,:� <br />�a � � ���� .�; � � <br />Data Inepected i <br />;'. <br />INSPECTION <br />291G9 <br />