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EXHIBIl "A" <br />Utility Services <br />Attn: Monte Turner <br />Utility Services <br />3101 Ce�lar St. <br />Everett, WA 98201 <br />�m8 <br />Subject: %C� � �Z c1 T`� ��� S� ��� �g �Addres <br />Connection to Available Public Sewer <br />My property is precently utilizing the foliowing methed for sanitary sewage disposal: <br />wl Septic Tank System. <br />[] Connected to the Public Sanitary Sewer Syst�m. <br />To the best of m�� knowledge, my existing septic tank system: <br />,� Adequately functions. <br />[ J Does not adequately furction. <br />I plan to do one of the following: <br />[ ] Connect within 60 days. <br />�'J Request an extension for up to ten (10) years. <br />Signed, <br />�u�t//'���� � _ jsv'-3 S 3 0/�7 <br />PR PERTY OWNER PHONE NUMBER <br />�✓o�r� y2� 3�f�'—g8�� <br />