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n' <br />everett <br />� <br />City oi Everen <br />Sewer Application and Permit <br />CHART N0. <br />! 19 ]8 S <br />1��rE� y-q-ai <br />� <br />No. 23862 DATE J�^n�ry 9, 1981 _ L <br />�a7 ,.�4+�� ��., s�, <br />76073-0 <br />Service Address —___ _— Utility Account No.__ <br />�.0. Box �19 30.00 <br />Billing Address _ Pern,it Fer.___ _ <br />City, State, Zip_ xirklard, Ma. 98077 Connection Chargelsl_— <br />Bh�r�tad s Nilli���, 2no. ]0.00 <br />Owner �Mortgagorl Total Fee _ <br />Bh�r�tad i Nilliaa�, Inc. Ordin�ne• �742-80 <br />Billing Name _ �,t�� �2 <br />sn•:.cae s etiit.■., :pc. <br />Connection By_ _-_ __ - ---- <br />Address ____ Signed_ <br />c�„u,�„�., <br />Phone 017-0�9�--- -- <br />�30.00 <br />�]9.00 <br />DESCRIPTION: Sewer District �6 Bond 2II <br />Lot _ � Block_. 5 . 10 <br />tit-E��t Monthly Sewer Service__ . _ _— <br />Plat — - <br />Unplatted Description _ Monthly Sewer Constr. <br />- Trunk 1.15 7�0.00 <br />Type Permit: M�r Coaaeatlon <br />SEE SKETCH ATTACHED <br />IN.tI'[ C i IOtJ <br />wtting Lot Line <br />N, S, E, W <br />It. eou�hty i <br />�proved By i <br />Cny E�B�neer <br />L. Bond <br />�ued <br />_- ; � � <br />spection By <br />.i (� <br />te Inspected / / ��— __- <br />rvo. 23862 <br />1 <br />