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Sewer Stub info�mation Sheet � <br />I. NAME `�OSEPI� W. DovLE <br />2. ADDRESS -l_42? IZZ�.J ST. 5•E. <br />3. TELEPHONE - �' '`` ' <br />, <br />4. Show pertinent ezisfing structures, patio's, driveways etc., fn fhe <br />sketch below. <br />5. Show location of septic tank and droin fie.ld. <br />6. Show desired location of sewer stub. <br />7. Future plans for my property are� ��•� �� • • • -� � % ��-` �.���- <br />8. Please send me the details of how we con utilize tha local <br />Improvement Dis`r,ct assessment process to finance tha cost of <br />the connoction fe�e: and the cost of const►uctinq ihe side sewer <br />fiom fh� structure to ihs sawe► stub at my property line. <br />CHECK ONE �(]YES �NO <br />/� <br />" : ; �J� . <br />e .•� fL-^c,-'S � <br />� � <br />�t,��:.. <br />1.� � <br />�� <br />CITY OF <br />everett <br />PUBUC wOPeS OEP1NfMEhT <br />]200 CEOAN STPEE� <br />EVEPErt. W�Sw�MUtUw <br />9ltOf <br />��/i-��G.�.-/ S� `�r/ <br />� / <br />otr .,� LT <br />�� �/"r�C %-'71 / ( <br />a <br />