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R�crTVEn <br />� � � �; � � ?oos <br />OPERATIUNS 8 EXHIBIT "B" <br />MAINTENANCE <br />Attn.: Michael Papa, Engineering Technician <br />City of Everett — Public Works <br />3200 Cedar St. <br />Everett, WA 98201 <br />(425) 257-8810 / - // / <br />�Lr/C'_ �� (�/A e �C !1 e / <br />�ob 9 /�.Z ,.�✓ �°/a � �_ �s�" <br />Subject: _ _ E✓r_reff, �r�j¢ 9F9�8 (Address) <br />Connection to vailable Public Sewer <br />My property utilizes the following method for sanitary sewage disposal: <br />� <br />[1 <br />Septic Tank System. <br />Conne�ted to the public sanitary sewer system (show proof or <br />arranoe dye test). <br />To the best of my knowledge, my septic tank system: <br />Y� <br />II <br />Adequately functions. <br />Does not adequately funcfion. <br />I plan to, if I am not already connected to the sewer: <br />or <br />� <br />To connect within 60 days. <br />I hereby request an extension for up to 10 years. <br />Signed, <br />� �1�,�.1/ � y.�s- , 3�-�yr9 <br />P PERTY OWNER PI�ONE NUMBER <br />