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Sewer Stub Information Sheet �����' � `� �� <br /> .:..i .' `� ._ _ <br /> 1. NAME —�7RR�/ �- • CEA - : e .s�-'�a � . <br /> 2. ADDRESS �23�/ I4 � ���S.E•, �vE,e�TT, WH• 482�4 � �`�'� <br /> � <br /> 3. TELEPHONE ...._ ---�-• -- ... --__._ --�� _.-- .. .. . _-_..--'��''��� .. <br /> �_._. <br /> 4. Show pertinent existing structures, patios, driveways etc., in the <br /> sketch below. .. . `._-`. :,: ! <br /> 5. Shaw locatian of septic tank and drain field. . <br /> ci.v oF <br /> 6. Shaw desired locatian of sewer stub. <br /> 7. Future plans 4or my property a�e� eve refit <br /> PU9LICWOFNSOEP�AiNENi , <br /> 0]00 CEORN STREEi <br /> EVEfiETT.W�SMitK.�ON <br /> 9E201 <br /> XS. Please send me the details of how we can utilize the local � � � �_� � � D <br /> Improvement District assessment process to finance the cost of uu � <br /> The connection fees and the cost of canstructing the side sewer FE3 14198G <br /> from ihs structure to the sewer stub at my property line. <br /> CHECK ONE ❑ YES [�NO ..................................................................... <br /> CITY OF EVERET7 <br /> pc"_:i� \h'�rks Dect. <br /> C=.!''-�rtit�t� � .r . _.- - - -- ---- ---- <br /> � ,�j �aJ � .��t,t�J �� �ti� -(�� <br /> � ' ✓:, <br /> �!'u ��u�� �� / 9 ��,�" - �=�-, ; �� � ���� <br /> , <br /> -�� ,�.� <br /> �� - a � ��e . w <br /> � � 7o y <br /> ���e�, 7,U�- _ 9�o z 1 <br /> , <br /> /L/esE : /�L��v st' �ES�i�/A �"o /T��1 8. if.dovE /!�/Z <br /> �Qf�!lR.� /•+V THE E•+1�tdOtgA .JT,AMP�D EM/Eld�E <br /> TM ...aM ._�......__.__..,_. _._. ___ _ ,_.. ...._., ..... _ _ . ..._ _ _ __ _.. ..._. ^.: _ .., .:. <br />