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everetl <br />�e <br />I City of Everett <br />Sewer Application and Permit <br />No. 24845 <br />DATE May 10, 1984 <br />Service Address 717 89th Sheet B.B. <br />Billing Address 9502 191h Avenue S.B. IC <br />City, State, Zip Bvetett, Me. 98204 <br />Owner (Mottgagorl J°1°°8 A Nahl <br />Connection <br />Address <br />Phone 337-4405 <br />DESCRIPTION: <br />Lot 4 Block <br />Plat Mountain Viev Div-6 <br />Unplatted Description <br />Type Permit: <br />Remarks: <br />SEE SKETCH ATTACHED <br />'HART NO.F— <br />Utility Account No. 76385-4 <br />Permit Fee 30.00 <br />Connection Charge(s) 310.00 <br />Total Fee 30.00 — <br />i <br />j <br />Signed Custo"r <br />Sewer District <br />Good III <br />Monthly Sewer Service 6.50 <br />Monthly Sewer Constr. <br />Abuttinn Lot Line <br />1., S. E, IN <br />A. R. Theal <br />Approved By City Ertg.., r <br />—1Issued By S' Bond <br />INSPECTION <br />330.00 <br />Inspection ByDate Inspected <br />No. 24845 <br />0 <br />--1 <br />C'1 <br />m <br />"t <br />x <br />to <br />z <br />0 <br />n <br />m <br />