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11223 2ND AVE SE 2016-01-01 MF Import
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11223 2ND AVE SE 2016-01-01 MF Import
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Last modified
3/7/2017 8:43:35 PM
Creation date
3/7/2017 8:43:32 PM
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Address Document
Street Name
2ND AVE SE
Street Number
11223
Imported From Microfiche
Yes
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-� <br /> ._-� <br /> r�CRTVED <br /> EXHIBIT "B" <br /> � � ; ?006 <br /> Attn.: Michael Papa, Engineering Technician <br /> MAINTENANCE <br /> City of Everett — Public Works <br /> 3200 Cedar St. <br /> Everett, WA 98201 <br /> (425) 257-8810 <br /> c � ►��w�1-- �g� <br /> Subject: 1 I�� J �AJ� � J� (Add�ess) <br /> Connection to Available Publir, Sewer <br /> My property utilizes the following method for sanitary sewage 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 septic tank system: <br /> � Adequately 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 10 years. <br /> Signed, <br /> �.,�� r� ,�J .�s � �'�3 <br /> R PERTY OWNER PHONE N MB R <br />
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