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EXIiIBIT "B" <br />Attn.: Michael Papa, Engineering Techr�ician �rC1sTV�D <br />City of Everett — Public Works ;• p;: ��� <br />3200 Cedar St. <br />Everett, WA 98201 oP[Ra,TiUNs 8 <br />(425) 257-8810 <br />NAINTFPlANCE <br />Subject: 22oy i22�� PL �>r_ (Address) <br />Connection to Available Pu ic Sewer <br />My property utilizes the following method for sanitary sewage disposal: <br />fd' <br />[1 <br />Septic Tank System. <br />Connected to the pubiic sanitary sewer system (show proof or <br />ar:ange dye test). <br />To the best of my knowledge, my septic tank system: <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 />I] <br />or <br />I�?' <br />Signed, <br />To connect within 60 days. <br />I hereby request an extension for up to 10 years. <br />1� � �wr�z 7 (�zs) 379-9201 <br />PROPERTY OWNER PHONE NUMBER <br />