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EXHIBIT "B" <br />Attn.: Michael Papa, Er�gineering Technician <br />City of Everett — Public Works <br />3200 Cedar St. <br />Everett, WA 98201 <br />(425) 257-8810 <br />Subject: (Address) <br />Connectio;i to Available Public Sewer <br />My property utilizes the following method for sanitary sewage disposa3l: <br />[ ] Septic Tank System. <br />[] Connected to the pub!ic sanitary sewer system (show proof or <br />arrange dye test). <br />To the best of my knowledge, my sepiic 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 aays. <br />or <br />[] I hereby request an exiension for up to 10 years. <br />Siyned, <br />F'ROPERTY OWNER PHONE NUMBER <br />