Laserfiche WebLink
�UBL/C f�YOltXS <br />EXHIBIT "A" <br />City of Everett <br />Attn: Monte Turner <br />Utility Services <br />3200 Cedar St. <br />Everett, WA 98201 <br />Subject: (Address) <br />Connection to Available Public Sewer <br />My property is presently utilizing the following method for sanitary <br />sewage disposal: <br />[ ] Septic TanY, System. <br />[] Connected to the Public Sanitary Sewer System. <br />To the best of my knowledge, my existing septic tank system: <br />( ] Adequately functions. <br />[ ] Does not adequately function. <br />_T plan to do one of th�� follawing: <br />[ ] Connect within 60 days. <br />[] Aequest an extension for up to five (5) years. <br />Signed, <br />PROPERTY OWNER PHONE NUM[�ER <br />�� <br />CITY i:iF EVERETT • 3200 Cedar Street • Everett, WA 98201 •(206) 259-E1800 • Fax (206) 259-BB82 <br />0 <br />