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PLFOL/C jIVON" <br /> Attn.: Michael Papa <br /> City of Everett Public Works <br /> 3200 Cedar Street <br /> Everett, WA 98201 <br /> (425) 257-8925 <br /> Subject: 2310 116'h Si. SE, Everett Vv'A- Connection to Public Sanitary Sewer <br /> My property is presently utilizing the following method for sanitary sewage disposal: <br /> Jyf Septic Tank System. <br /> or <br /> [ ] Connected to the Public Sanitary Sewer System (show proof or arrange <br /> for a dye test). <br /> To the best of my knowledge, my existing septic tank system: <br /> M Adequately functions. <br /> or <br /> [ ] Does not adequately function. <br /> I plan to, if I am not already connected to the sewer: <br /> To connect within 30 days. <br /> or <br /> [ ] I hereby request an extension for up to ten (10) years. <br /> (attach Snohomish Health District certification) <br /> Signed, <br /> /��-7 7- W07 <br /> PROPERTY OWNER PHONE NUMBER <br /> RETURN NO LATER THAN MAY 11, 2016 <br /> CITY OF EVERETT • 3200 Cedar Street • Everett, WA 98201 • (425) 257-8800 • Fax (425) 257-8882 <br />