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�ewer Stub Information Sheefi � � � �� � V ��� ��`�"`� � <br /> . 9 f.'L•i'!L'Z� � <br /> I. NAME �AR.Y L GL.SEI\I ._.:-I ..�a �- - - <br /> 2. ADDRESS 1221� 14f1� Uu. S.E, i " : � �'�� -•: <br /> 3. TELEPHONE 337�a�� . . . _ :_�� --_ ;�< �.�:� -„- <br /> � <br /> 4. Show pertinent existing structures, patios, driveways etc., in the <br /> sketch below. . „ <br /> 5. Show location of septic tank and drain field. "' ���;,, �� <br /> 6. Show desired location of sewer stub. <br /> 7. Future plans for my property are� h�� eVerett <br /> PU04C NOAKSDEP�RIMEN� <br /> ]200 G[D4a SiAEET <br /> EVfNEi: w�SMIMG�ON <br /> 99101 <br /> 8. Please send me ihe details of how we can utilize the local <br /> Improvement District assessment process to finonce the cost of <br /> the connection fees and 4he cost of constructing ihe side sewer <br /> from ihe structure to the sewer st�b at my property line. <br /> CHECK ONE �YES �NO �{ � � � � � � D <br /> Ll l I <br /> rE3 10 �ggs <br /> .............. ....................................._____ <br /> CITY QF EVERETi <br /> Pe�:'c 1K�rks De,r.;. <br />� � <br /> N <br /> � � r <br /> \ �� ���� <br /> ��� X <br /> , . _ x <br /> � '� i zz►7 ��. <br /> , � <br /> Q` 4� . <br /> d X <br /> � pR�J I X <br /> IZ�"� ;�}� <br /> 70 � (�'t S.��UUYi"'c��� <br /> ln T I��� hp-f- <br /> - � ��rb <br /> � " _ <br />