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everen <br />� <br />City of Everett <br />� <br />r: <br />� <br />� <br />Se• �rer Application and Permit ._ . <br />No. 27475 <br />� <br />DATE _ J+nuary 16, 1990 " <br />Service Address 9�Sb 172th 9t. &B <br />BillingAddress p•0. nox 1331 _ <br />City, State, Zip �az�tt, MA 98206 <br />Owner (Mortgagor� xYu^9 S• �10�4 <br />Billing Name �° <br />Connection <br />DESCRIPTION: <br />Lot _ <br />Plat _ <br />Unplatted Descri <br />ITvae Permit: <br />Remarks: <br />Block <br />IMPORTAN71 <br />CALL 1�800d24�6555 48�HOURS <br />PRIOR TO DIGGING <br />CALL 259�8811 FOR INSPECTION <br />SEESKETCH ATTACHED <br />CHART N0. <br />�a��� <br />O (`J Y i C• <br />w L9 N .-� <br />.. .. .: <br />-. .. <br />; <br />., <br />1:� � '� _ <br />^ < <br />i�gc ,; <br />��W � <br />Utility Account No. <br />Permit F <br />"�TO c�:,Tt t.IG <br />S-y�-9U <br />Connection Charge(s�_ ��2•00 <br />Total <br />Utility �evelopmant Fa� Ord. 1171-05 <br />vat�r 4X6,63 <br />eevez 1098.37 <br />1515.00 <br />Signed <br />cu:�omer <br />Sewer District__— �nd I2I <br />Monthly Sewer <br />Monthly SeH�er Constr. <br />Tnink 572 00 <br />Lateral__ <br />Abut[ing Lot Line <br />N, S, E, W _ <br />Approved By AI.P1�D R TttE11L <br />C�ry Engineer <br />Issued By 6Uo5•1S�g9en <br />i -� � � � <br />Inspection By_ _l _----.- <br />l, <br />Date Inspecred__ ���.'._ — <br />N�. 274 l 5 <br />U..`�i'f-(�, i�i� �,. <br />