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11215 19TH AVE SE 2016-01-01 MF Import
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11215 19TH AVE SE 2016-01-01 MF Import
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Last modified
4/2/2017 12:00:21 PM
Creation date
4/2/2017 12:00:16 PM
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Template:
Address Document
Street Name
19TH AVE SE
Street Number
11215
Imported From Microfiche
Yes
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,- ,� <br /> . ._ .. . _. . .._.,_ ._— �_. : ��. - <br /> l Sewer Stub Information��Sheet � ���''4T, <br /> I. NAME CD1�dAR0 � �i�l YS�KOu�,SR�I �# -a�`'"`.+�. � • <br /> 2. ADDRESS fL�L+�� �9�AVr � F EYE/IE>? l.��A • �l�Z�0� 1 .��..'"� �"� � <br /> 3. TELEPHONE '7�3�:,� S'��._. ...�. __��.�_�r...._�.'-`'"��.� .. <br /> —�� <br /> 4. Show pertinent existing structures, patio's, driveways etc., in ihe <br /> sketch below. ._. _.,,., .,;, <br /> 5. Show locatian of septic tank and drain field. • �,T„�o` � <br /> 6. Show desired location of sewer stub. eVerett • � <br /> 7. Future plans for my property are= <br /> PUBUC WOPNS DE►�A�wfNf <br /> ]700 CEW11 SMFlT <br /> [V[RETT.W��M6TON � <br /> 9l2G' <br /> �( 8. P(ease send me the details of how we can utilize the Iocal : _. ' __ <br /> lmprovement District ossessment process to finance the cost of _ <br /> the connection fees and the cost of constructing ihe side sewer <br /> fram ihe structure to the sewer stub at my property line. <br /> CHECK ONE C�'YES �NO <br /> ^ ��£�SS/Y, t � j �,� '�/� lva ,_ _ <br /> .''-' .--�fi�d/c / r £ _ _ , _- -------- <br /> .y- . <br /> � ,S ��C -�K'� �''� � L y ,��t/-- � �r /� t D /� �r L vu S <br /> �_ __ / ,� <br /> /7 �J}rJ%2 i�-c' TD./L� ��o��� � �—' <br /> � /J �j C/7f�E- /�— / �. <br /> ��_ /� �1�!L-� ( Q3YJ�i'e%t" %.< v �'c <br /> �31� I/4-c:7— �./' / <br /> / 1 <br /> �� i, � � � � 0 � � �� <br /> � � <br /> F�� 13 1986 <br /> _____.._....................................................... <br /> CIN OF EVERETT <br /> P�t:;c �a�arks e:c:. <br /> /l�e rE: /��E�o JF ��=S���v.0 �e /T��1 8. if�BovE A•Vr <br /> �OffU.��t1 /�t/ 7f�E f�lJ�'1OJf� S�.�n�P£� E•WElapt <br />
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