Laserfiche WebLink
EXHIBIT "B" <br />Attn.: Michael Papa, Engineering Technician <br />City of Everett — Public'JVorhs <br />3200 Cedar St. <br />Evered, WA 98201 <br />(425) 7_57-8810 <br />Subject: �2� ��r'0 �I � �v � `�- ;Address) <br />Connection to Available Pub ic ewer <br />My property utilizes the following method for sanitary sewaye disposal: <br />Septic Tank System. <br />Connected to the public sanitary sewer systern (show proof or <br />arrange dye test). <br />To the best of my knowledge, my septic tank s/stem: <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 />or � <br />I1 <br />To connect within 60 days. <br />I hereby request an extension for to 10 years. <br />(aHacln sl�p �n�,pec+�nr+� <br />Signed, <br />� <br />' �" ^" • � <br />OPERTY WN �' . , <br />v %, '. <br />20NE NUM �" <br />� I �3n � o� <br />