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evereri <br />e <br />�ity o( Everett <br />Sewer Application ar�d Permit <br />No. 24958 DATE �tob�r 15, 1?84 __ <br />Service Address__. <br />SOl 75th Placa S.H. _ Utility Account No._----- <br />�g 826 5.8. Ewret: M�11 NaY 30.OU <br />Permit Fee__---- <br />Billing Address -- — y�p,00 <br />City, State, ZiP <br />L^varett� Ma. 98204 _ Connection Chargels) <br />ttilli• liomas Inc. Total Fee =0.00 __ <br />Owner (Mor[gagor) <br />Sam� <br />Billing Name_ <br />i <br />Conneciion By -- <br />/ <br />, ! �t_ <br />Signed ` — <br />n.�,�.o« ._ . . Customer <br />]55-4492 <br />_. _ <br />Phone --- — - — — — <br />DESCRIPTION: <br />Lot 10� Block -- <br />Plat Veralnn� F.otet�s <br />Unplaued Description ----- <br />- ^--�... ..-- ^----..�.... <br />Sond II <br />SewerDistrict_-- ---- <br />Monthly Sewer Service--6 `�--- <br />_ Monthly Sewer Constr. <br />— Trunk __ 270•00 <br />Lateral <br />SEESKkTCH ATTACHED <br />II�'�,I (_�. ' �. <br />Abutting Lot Line <br />N, S, E, W <br />Approved By �• R. TMal _ � <br />Cilv E��q�nner i <br />�Ii. BOIIQ <br />ISSUeO By -- , <br />�i � �/�� li <br />J\ ..��VCJ/ �`��/���,_—_ I <br />Inspection By � <br />�) � <br />Date I nspected � � – � � � � —"—"- <br />No. 24958 <br />