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2220 116TH ST SE 2016-01-01 MF Import
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2220 116TH ST SE 2016-01-01 MF Import
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Last modified
4/17/2017 12:47:49 PM
Creation date
4/14/2017 9:11:48 PM
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Template:
Address Document
Street Name
116TH ST SE
Street Number
2220
Imported From Microfiche
Yes
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_,, Sewer Stub Information Sheet <br />I. NAME _P�RRv M. ToNsiA,pp <br />2. ADDRESS _ZZzo i/Gfb sr. SE. <br />3. TELEPHONE_ <br />4. Show pertinent exisiing siructures, p�tio's, driveways etc., in ihe <br />sketch below. <br />5. Show location of septic tank and drain field. <br />6. Show desired location of �ewer stuh <br />7. Future plcns fcr my property are� � <br />. . ...�.�. <br />C�TV (1( <br />everett <br />�^e. F�ou.snu�.=:��n. <br />t • <br />� ):,�0 Cf�ul stnf LI <br />6�6tn w>.....::•b�. <br />8. Please send me ihe details of how we con utilize ihe locol <br />Improvement Districf ossessment process fo finance ihe cost of <br />thr, connection fees and ihe cost of consiructing ihe side sewer <br />from The siructure io �he sewe�r �tub at my property line. <br />CHECK ONE ❑ YES G(lN0 <br />�.� <br />-- — — — �� liL-fl, sr. sc. <br />1 <br />� ��� <br />:�; ; r., [ <br />,/,' �r-� , <br />'� � � L �-- ; < <br />li <br />'�- .'`�;' � , z22o <br />?�'. S ,G <br />J � - - - - <br />� r: <br />�� . . , <br />:� <br />��i�G���d[�� <br />F .0 10 198G <br />,_.... _ .. ................__. ....._..... <br />fY ��` EVERCTT <br />�i6:it'��orks Qcot. <br />
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