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�j���f �°u' `,��� -{-�� ��l <br />S��G� Cv�tr�i,y� <br />Ro <br />EXHIBIT "B" <br />Atin.: Micliael Papa, Engineering Technician <br />City of Everett — Public Works <br />3200 Cedar St. <br />Everett, V'JA 98201 <br />(425) 257-8810 <br />s-� �- - <br />Subject: yy/[� li/ST7a pl, �v�/1a7J' �2�3 (Address) <br />Connection to Available Public Sewer <br />My property utilizes the following method for sanitary sewage disposal: <br />� <br />I1 <br />Septic Tank System. <br />RECETVED <br />,, � � 1 :; :OOS <br />OPERATIONS 8 <br />MAINTENANCE <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 />� <br />[1 <br />Adequately functions. <br />Does not adequately function. <br />I plan to, if I am not already connected to the sewer: <br />I1 <br />or <br />ri <br />Signed, <br />��. L <br />.�. � . <br />To connect within 60 days. <br />I hereby request an extension for up to 10 years. <br />. ��" �% <br />i ��% % <br />.� �� <br />� / � <br />�/.?� zsa� G7s�3 <br />PHONE NUMBER <br />