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Sewer Stub Information Sheet � � � "` ;�^----�-.., <br />: ��,.�: ��� <br />I. NAME PE.erzy M. TNs�A,eD j � <br />_ ! �r��-"�.,.,,a <br />2. ADDRESS 22ZU, !lb � ST. 5', E•� �/E,t'ETT, Ll%A •��204-_ j�;=• z+Li:a � <br />..-.._......_.... -.._ ....>,.. ..,.. ..-. . . ,-_a °��p.sel;� 1 <br />3. TELEPHONE � ���.� � <br />_..._._.� <br />4. Show perlinent existing siructures, patios, driveways etc., in the <br />sketch below. <br />5. Show locotion of septic tank and drain field. <br />6, ShcN desired location of sewer stub. <br />7, Future plans for my property ore� <br />x8. Please send me the details of how we cen utilize ihe local <br />Improvement Disiricf ossessment process to fir�nce the cost of <br />the connection fees and ihe cost of constructing the side sewer <br />from ihe siructure to ihe sewer stub at my property line. <br />CHECK ONE ❑ YES f�1A1Q <br />� <br />•3dap sH�oM ai;qnd <br />1132l3A3 d0 ,U.I� <br />J861 pT �_� <br />��]���a��� <br />CITY QF <br />everett <br />voauc won. s o[o.mve.r <br />]2C0 CEO�n 1ir.�E1 <br />[vfPErt, w�5wn�rCM <br />9�)0� <br />/l.fe s,E :/�L ttA s�' �PES�i.v1� �''a /TEM �. A.BavE A•vD <br />RffUi71V /l�/ T.yf EA/IYOJ�.� S7A.yl,nfl� �'A/VE�op� <br />