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10 <br /> Drinking Water State Revolving Fund <br /> 2004 Loan A. s lication Form • <br /> SECTION I: APPLICANT INFORMATION <br /> i Borrower: I City of Everett <br /> Water System Name i City of Everett <br /> PWSID Number: 24050L <br /> Street Address: 3200 Cedar Street <br /> City: Everett 'j State: I WA I Zip Code: [ 98201 <br /> Federal Tax ID#: j 91-6001248 ----- I UBI Number: 1 313000656-6 <br /> Project Title: Clearwell No. 2 <br /> Project Description: <br /> Design& construct a second 5 million gallon clearwell at the Everett Water Filtration Plant. <br /> I � <br /> t j <br /> Project Site Address 6133 Lake Chaplain Road <br /> (include City&County) ; Sultan, WA 98294 Snohomish County <br /> Total Request: $4,040,000 (Include 1%loan fee. Loan request should match figure on page 10 E(c)) <br /> County: Snohomish Legislative District: 38th <br /> Congress.District: ; 2nd Watershed Resource Inventory Area(see <br /> Guidelines, 33)• 7 <br /> Contacts(List Two): 1)Madelaine Yun {2)Matt Welborn <br /> Street Address: 3200 Cedar St. 3200 Cedar St. <br /> Mailing Address: Same as above Same as above <br /> City/State/Zip: • Everett, Wa. 98201 Everett,Wa. 98201 <br /> • <br /> Telephone: 425-257-7229 ' 425-257-8974 <br /> Fax: ! 425-257-8886 425-257-8882 <br /> Email: myun@ci.everett.wa.us ! mwelborn@ci.everett.wa.us <br /> Consulting Firm: T N/A <br /> Contact Person: N/A <br /> Mailing Address: N/A ( City/State/Zip: N/A <br /> 'Phone( - ,.__.......__....------------------ <br /> ( )N/A I Fax ( )N/A j Email:N/A <br /> Application Forms-2004 1 DWSRF Loan Program <br /> 77 <br />