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' /: <br />l <br />r <br />EXHIBIT "B" <br />Attn.: Michael Papa, Engineering Ter,hnician <br />City of Everett - Public Works <br />3200 Cedar St. <br />Everett, WA 98201 <br />(425)257-8810 <br />Subject: �5 /� � / v� y �� �T- S �. (Address) <br />-���onnection to Available Public Sewer <br />My property ulilizes the following method (or sanitary sewage disposal: <br />� Septic Tank System. <br />[] Connected to the public sanitary sewer system (show proof or <br />arrange dye test). <br />To tlie best oi my knowledge, my septic tank system: <br />� Adequately functions. <br />[ ] Does not adequately function. <br />I plan to, if I am not already connected to the sewer: <br />or <br />[] To connect within 60 days. <br />� I hereby request an extension for up to 10 years. <br />� � .' � <br />� N UM ER <br />