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EXHIBIT "B" <br />Attn.: Michael Papa, Engineering Technician <br />City of Everett — Public Works <br />3200 Cedar St. <br />Everett, W: 98201 <br />(425) 257-881v <br />Subject: Z L Zlp l2y 7t� S'� S� (Address) <br />Connection to Available Public Sewer <br />My property utilizes the fullowing method for sanitary sewage disposal: <br />� <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 lank system: <br />� <br />I1 <br />Adequately functions. <br />Does not adequately function. <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 />'�5�ct�� ����� y z5 -33a' -y632. <br />PROPERTY OWNER PHONE NUMBER <br />