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r�rC�?1VED <br />� 2006 <br />pPERATIONS $ EXHIBIT"B" <br />1�1�RdT ENANCE <br />Attn.: Michael Papa, Engineering Technician <br />City of Everett — Public INorks <br />3?.00 Cedar St. <br />Everett, WA 98201 <br />(425) 257-8810 <br />z l 2 Z ���-/ S1' s� ��,r•�� `'�Za� <br />Subject: (Address) <br />Connection to Available Public Sewer <br />My property utilizes tlie following method for sanitary sewage disposal: <br />�r <br />I1 <br />Septic Tank System. <br />Connected to the public sanitary sewer system (show proof or <br />arrange dye test). <br />To the best oF my knowledge, my septic tank system: <br />Adequately functions. <br />Does not adequately fur.ction. <br />I plan to, if I am not already connected to the sewer: <br />[] To connect within 60 days. <br />or <br />� I hereby request an extension for up to 10 years. <br />Signed, <br />�,.�JC �« - �f�� z 3% -Tc 'L/ <br />P PERTY OWNER HONP E NUMBER <br />yzs = ��� -z�es_" <br />