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CVffC:i G/C� ZZ3 i/r <br />2�z tz�f 9&- f�, sE <br />e 2-� Zz� <br />z,� <br />z,8 <br />Ciry a1 Eve�eri � 20 <br />n''-� <br />Sewer Application and Permit <br />9�i5�eo <br />No. 23751 9C�7 DATE <br />91r�lyd Avanu• B.E. <br />Service Address <br />F.O. !ox 5�08 <br />Billing Address_ <br />p�ezett, Ma. 9B]06 <br />City, State, 2ip <br />Owner (Mortgagorl D°isrdin Cnstoy Hoe�s <br />Duj�rEin Cn�to� Bo��• <br />Billing Name <br />Baue <br />Connection By_ <br />�3�-5018 <br />DESCIiIPTION: 12 <br />Lo! 1 thzu 5_ Block -- <br />Plat ptn 9 thru 11 Int�raity /DS�. 1 <br />Unplatted Description — — <br />7ype Permit: Nar Conn�clion ( <br />Remerks: ��— <br />�_ � � <br />SEE SKETCH ATTACHED <br />CHART NO. <br />� �,+�e <br />K��k E�ra>�s <br />17- I(n' 9 � <br />in�e�-s <br />Utility Ar.count No._ <br />510.00 <br />Permit Fee <br />)15].71 <br />Connection Che�gels) — <br />5�0.00 <br />Total Fee <br />Ordinanee 1669-BO <br />�r�� =I 5780.00 <br />Signed c�,�o�� <br />Sewer District <br />Month�y Sewer Service. <br />Monthly Sewer Constr. <br />.030 <br />Trunk <br />Lateral_ _ <br />N�t�r�d <br />25.71 <br />Abut[ing Lot Line <br />N, S, E, W_— <br />g, M�rtan <br />AppfoV�.d BV— r��v Enpmeer <br />$, BOnd <br />ISSIIP.f� BY ---- --- — --- <br />�f15nBC�lOf1 Bj� ��� <br />v � <br />Date Inspected_ I�/" -� — -� <br />N� 23751 <br />