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I. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />Sewer Stub Information Sheet <br />NAME ��EITFi ���_ - '�V NS <br />AQDRESS?'2O / �»„ PL. s6. <br />TELEPHONE J' ��-1- '� i � � <br />Show pertinent existing structures, patio's, driveways etc., in the <br />sketch below. <br />Show location of septic tonk and drain field. <br />Show desired loCation of sewer stub , <br />Fufure plons for my property ore� �,�`''"�/� 4� �'i�%/�'�'�' 1;; <br />J <br />�' �„ T � 1 i%: � . �- il� �t : S[� � <br />8. Please sand me the detoils of how we con utifize the local <br />Improvrment Disirict assessment process to financa the cost of <br />the connection fees and the cost of constructing ihe side sewer <br />from ihe siructure to,the sewer stub at my property line. <br />CHECK ONE �YES �NO <br />� <br />I <br />N <br />� <br />,...,...�... <br />, ,�: � <br />/2Utti PL. S.E. ;v ,�,,, - <br />— — — .`-�-�— - <br />I 1��-il_�t�„ <br />-.•,... -. . ._ .. ... ti�v .. <br />(.�,,. ,_�t J, ►I <br />� �_�. <br />`` . � � <br />�',�-"`�t���' ' <br />_-�''��_.,�1 <br />t`�_ <br />�—"'� <br />�e�` , <br />�.�����,1�� <br />,� ..� _= �..� . ...� . -�-... —.�,....-..�.._r.�. k:. �. - ._ . _ _ . _ _ <br />r� <br />. /��. <br />�2 <br />r� ' <br />��,� � � <br />everett <br />�V?: �c 1�c+��.5 Df��n�MEN' <br />.C. �l(F�u[Watl <br />(\:cl' 'an'.r� � i � . <br />��������� <br />OC1' w:: 1985 <br />� CITY OF EVERETT <br />Pct'i. V�'crks Drr,:. <br />