Laserfiche WebLink
CHART NO. R� <br /> everett <br /> o�x = 588t� 8 88 8 8 � <br /> a y y City of Everett <br /> KIxSewer Application and Pey�rimi�zt! , { " Plot <br /> M zNO. 28443 DATE oct. 7 1991 <br /> 0 <br /> Minen g Service Address 210 50th P1 ) __ — Utility Account No. <br /> yZ H Billing Address --L• in Ate° <br /> t" H H City, State,Zip __Ayokena MA__99202 Permit Fee $ 30.00 <br /> gw Owner _ R....wrock TR Connection Charge <br /> Connection by C'k r 6 �3°< Trunk $ <br /> y O rA Address _ Lateral $— <br /> Total Connection Charge $ <br /> Phone —.4SoDl_S34_ Utility Development Fee <br /> Legal Description: Water $ 179.00 <br /> L 3 - <br /> Lot az ftr R..ahr.u.k n+e-_3Sewer $ <br /> Block -- --- Total Development Fee $ 170-On <br /> 1C j Plat —_ <br /> Unplatied Description: _ _ Sewer Bond District <br /> Abutting Lot Line <br /> N,S. E.W <br /> Type of Permit :A&W ®..� tjm Approved By <br /> Remarks _ ____ Issued By_ — w BuOhes <br /> C01 __ Customer Signature <br /> � IMPORTANT[ <br /> Jz <br /> CALL 1-800-424.5555 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259-8810 FOR INSPECTION Inspection By <br /> Date Inspected <br /> SEE SKETCH ATTACHED No. 2$443 <br /> INSPECTION <br />