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�� � �►��r <br /> Attn.: Michael Papa <br /> City uf Everett— Public Works <br /> 32L0 Cedar St. <br /> Everett, WA 98201 <br /> (425) 257-8810 <br /> ���� � Ho �� y � � <br /> Subject: �� (Fddre�=) <br /> Cornection to Available Public Sewer <br /> My property is presently utilizing the fullowing method for sanitary sewaye disposal: <br /> � Septic Tank System. <br /> [ ] Connected to the Public Sanitary Sewer System (show proof or <br /> arrange dye test). <br /> To the best of my knowledge, my existing septic tanr system: <br /> � Adequate��r functions. <br /> [ ] Does not adequately function. <br /> I plan to, if I am not already connected to the sewer: <br /> [ ] To connect within 60 days. <br /> or <br /> � I hereby request an extension for up to ten (1G) ; r;ar <br /> (attach Srioh'q�ish�ealth"Di§tnot�r"�."[Gfca�tonl <br /> Signed, <br /> � �a S 9 �� — /S'�3 <br /> P 0 ERTY O ER PH E NUMBER <br /> a"+' ,��j� �� a o � `+�n� ` � x�"�` ' � , '�� <br /> � . <, ����..�� '� � ��� ,t�: � <br /> � v , a�' � ; � �, <br /> � � ,�,� � � <br /> �, ' �h �r � �� <br /> `x, � �� -„��f:�i c ... ... .\.'`�.�,*. . �Gj'F``..�i� x��, <br />