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EXHIBIT "B" <br />Attn.: Michael Papa, Engineering Tpchnician <br />City of Everett — Fublic Works <br />3200 Cedar St. <br />Everetl, WA 98201 <br />(425) 257-8810 <br />Subject _ (Address) <br />Connection to Available Public Sewer <br />My property utilizes the following method tor sanitary sewage disposal: <br />[ ] Septic Tank System. <br />j] Connected to ihe public sanitar,� sewer system (show proot or <br />arrange dye test). <br />To the best uf my knowledge, my septic tank system: <br />j ] Adequately functions. <br />j] Does not adequately function. <br />I plan to, it I am not already connected to lhe sewer: <br />�] To connect within GO days. <br />or <br />j] I hereby request an extension for up to 10 years. <br />Siqned, <br />f'ROP[RTY c�WNf_R PHUNE NUMBER <br />