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� everett <br />� <br />City ot Everett <br />Sewer Application and Permit <br />zp/eo <br />�s�'� <br />�'°-k Z'���8 � <br />��,-ooks <br />N0. Z34TS DATE -- -- � <br />825 lOSth Plaw 1.l. 7SS96-1 <br />Service Address _ Utility Account No. — <br />1201 Col�wbla ]0.00 <br />BillingAddress ___-- PermitFee - <br />703.! <br />Ettr�tt, Ma. 91207 Connection Chargels) <br />City, State, 2ip — 70.00 <br />Owner IMoitgagorl <br />P�1�! �_�° Total Fee _ <br />1T�lar: t�d�r�ea <br />Billing Name <br />l�al M�aeh�s�d <br />Connection By — <br />DESCR��TION: <br />Lnt Block_ <br />Plat _ �'°t~ Pl�t Yl _ <br />Unplatted Description <br />�_ �__�._ <br />SEE SKETCH ATTACHED <br />Sig�-.,'CI� __ cw�omer <br />— w iooe i:c <br />Sewer District — <br />3.80 <br />PAonthly Sewer Service_ <br />Monthly Sewer Constr. <br />_ . 7.25 <br />INSP[C i!ON <br />Abutting Lot Line <br />N, S, E, W <br />p. M�rren <br />Ciry E�p�neer <br />G. BO}Id <br />�l15;7@CiWfl B�/_�N ' <br />Date I nspected_ L— '�— &' O <br />rvo. 23478 <br />