HomeMy WebLinkAboutMiscellaneous - 46 RUSSETT LANE 4/30/2018 (2) A I r "
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46 RUSSETT LANE `
210/104.A-0004-0000.0 f
Jewe r
1671
APPLICATION FOR SEWER SERVICE CONNECTION
North Andover, Mass. ga,�f
Application by the undersigned is hereby made to connect with the town sewer main in ' Q _Street-
subject to the rules and regulations of the Division of Public Works.
The premises are known as No.. t�9����- _ /�� Street
or subdivision lot no.
i
Owner Address
Contractor Address
Applicant's Signature
//We
PERMIT TO CONNECT WITH SEWER MAIN
The Division of Public Works hereby grants permission to
to make a connection with the sewer main at Street
subject to the rules and regulations of the Division of Public Works..
Division of Public Works
By
Inspected by
Date
See back for rules and regulations