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EXHIBIT "B" <br />Atin.: Michael Papa, Engineering Technician <br />City of Everett — Public Works <br />3200 Cedar St. <br />Everett, WA 98201 <br />(425)257-8810 <br />Subject: _ (Address) <br />Connection to Available Public Sewer <br />My property utilizes the following melhod for sanitary sewage rlisposal: <br />� ] Septic Tank System. <br />[] Connected to ifie public sanitary sewer system (show prooi or <br />arrange dye test). <br />To the best oi my knowledge, my septic tank system <br />j ] Adequately functions. <br />[ ] Does not adequately function. <br />I plan to, ii I am not already connected to'he sewer: <br />[] 7o connect within 60 days. <br />or <br />( J I hereby request an extension for up to 1d years. <br />Signed, <br />PROP[R fY OWNER PHQNE NUMBER <br />