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EXHIBIT "B" <br />Attn.: Michael Papa, Enyineering Technician <br />City of Everett — Public Works <br />3200 Cedar St. <br />Everett, WA 98201 <br />(425) 257-8810 <br />Subject: �((! 9�f3.f p$fh rj,�� I�; iy2�a�f- ��z� y(Address) <br />�onnechon to Avadable ('ubhc Sewer <br />9Y2/ /8th Ave y� <br />^ r r' .'+ '' ?%?i: � <br />. � ;! .-lfitlii <br />OPERP.1'IONS � <br />MAINT[NANCE <br />My property utilizes the following method for sanitary sewage di�posal: <br />� <br />�1 <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 />� <br />I] <br />Adequately functions. <br />Does not adequately function. <br />I plan to, if I am not already connecteu to the sewer: <br />[l <br />or <br />�� <br />Signed, <br />To connect within 60 days. <br />I hereby request an extension for up to 10 years. <br />(���ris1�",�� i�l. rr'��r�)cc� ) �fa� �!G �03�9 <br />PROPERTY OWNER PHONE NUMBER <br />