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everett <br />Le <br />City of Everett <br />Sewer Application and Permit <br />NO. 24062 <br />DATE 8/27/81 <br />314 73rd <br />etrest S.M. <br />Service Address <br />324 73rd <br />Street B.M. <br />Billing Address <br />Everett, <br />Ma. 98203 <br />City, State, Zip <br />Owner (Mortgagor) <br />il,ohard <br />Book <br />same <br />Billing Name <br />Connection By <br />same <br />355-3206 <br />Phone <br />DESCRIPTION: <br />Lot 13 Block__ <br />Plat Gardner Manor <br />Unplatted Description <br />CHART NO. (- I -20• `+ <br />Utility Account No <br />C,L <br />4 <br />Pastas io�-z3i&'t•. <br />76090-0 <br />Permit Fee 30.00 <br />Connection Charge(s) 330.00 <br />30.00 <br />Total Fee <br />Signed <br />Customer <br />Type Permit: Mew Connection <br />Remarks: Sxistinq residence on Septic Tank <br />#47196-1 <br />SEE SKETCH ATTACHED <br />INSPECTION <br />36 Bond III <br />Sewer Dist. at <br />5.10 <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />2.25 <br />Lateral <br />ALutting Lot Line <br />i�, S, E, W. <br />A. R. Theal <br />Approved By <br />City Enpinem <br />B. Bond <br />Issued Bti -- <br />Inspection Sy —' <br />Date Inspected b AU V 8 <br />No. 24062 <br />