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everMi <br />�1 <br />c�cy � r e�q�en <br />Se�rver Application and Perrrrit <br />N0. 23p16 DATE 11/1�/80 <br />CHART N0. <br />j?as�0 1' 1 Z' 8� <br />� <br />Service Address 911 10�lh Plar,• l.E. Utility Account No. �R02�-9 <br />P.O. Bo: 419 30.00 <br />3iHing Address __— -- Permit Fer, __ <br />xiskland, Ma. 9903) Connection Char els) 702.50 <br />City, State, Zip _ _ 9 <br />eh�zrl�A s •l11iaA�, Inc. 30.00 <br />Owner (Mortgagor) ___._ __ _ Total Fer_______.___ __ <br />se.r.cae o Mi111�A�, Iac. Ordinaoc• 17Y]-80 <br />Billing Name — ]1r�a 2 3)9.00 <br />ea�e <br />Connection Bv _ _— <br />Phone <br />ez�-o�s� <br />DESCF�IPTIOh: <br />Lat Block <br />Plat Ttr-E��r <br />Unplatted Description <br />Type Permit: ��� Cean�etion <br />Remerks: <br />SEESKETCH ATTACHED <br />Signed___ <br />cusrome� <br />tNSP[CTION <br />�6 7lond III <br />Sewer District---_ ------ <br />Monthly Sewer Service S., 10 __ <br />Monthly Sewer Constr. I <br />i.is �os.so <br />Trunk <br />Lateral <br />Abuttiny Lot Line <br />N,S,E,W <br />x. eeu�h�q <br />Approved By _ <br />City Enpmem <br />R. BonE <br />Issued BY ---- <br />Inspectio -��'��/��� <br />Date Inspected_��/� —O �— <br />No. 23816 <br />