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tl <br />i <br />j <br />everen <br />e� <br />Ciry of Ev��re.t <br />Sewer Application and Permit <br />No. 23759 <br />Sopto�bar 19, 1980 <br />DATE __ <br />IServir.eAddrr.ss 6J2 �gth Slree! S.E. <br />Dilling Address 5731 153rd Placie B.M. <br />iCity,6tate,Zip g�aond�, Ma. 98020 <br />I Owner (Mortgayor) RAH Ente=priau■ <br />Billing Nerne Same <br />Connection 8y Saw• _ <br />Address_ <br />743-5891 <br />DESCRIPTION: <br />Lot 14 __ glock 2 __ <br />Pla[ Daverlv Ho■• Tract■ Div. 2 <br />Unplatted Description <br />n.,....:.. <br />u�.. n....�..�r��� <br />CHARTNO. h� i'-�S"S <br />(�osi�n �o-�-� <br />� <br />U[ility Account No. �0072-1 __ <br />Pcrmit Fee �0.00 <br />Conn:ction Chargels) 190. SO <br />]0.00 <br />Total Fee <br />Ordinance A 669-80 <br />nrua I 1287.00 <br />Signed_ / <br />Cuttomer <br />Rom�r4e <br />SEE SKETCH ATTACHED <br />i r� �.,� � L T � �'rv <br />Sewer District 6 Dond I <br />Monthly Sewer Servii�terad <br />Monthly Sewer Constr. <br />Trunk • 30 <br />Lateral �'g�� <br />Abutting Lot Line <br />,N,S,E, W <br />F��] <br />fl. Nazren <br />Approved By_ <br />Cily Engmeer <br />F. Nond <br />Issued By_________ _ i <br />I <br />Inspection B _ Ey�'� _ <br />Jate Inspected� � ��� <br />N�. 23759 <br />