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By City Ordir�ance any meter "suvolying more than one oremieee or ueer" <br /> shall be treated as a Water Diatrict and comnly wlth Water District <br /> regulatlons. <br /> Water Dist�lcta are requlred to fill in and return this form to the City <br /> .n� of Everett. Utilitlea Deoartment. Everett. Washington 98201. It may be -� <br /> L malled or brought in. wlth your nayment or separately. If you have sny <br /> questlons. pleass call Mls. King at 259-87a5• <br /> please return the comoleted form withln 20 days of receipt to: <br /> Mrs. King - Utillty Billing <br /> City of Etirerett <br /> • Everett. Washington 98201 <br /> . , <br /> WATER DISTRICT REPORT <br /> xame of Wacer District (ir any)�onar,��Rts L�s�-Fe�� 1�%S�• <br /> Treasurer of PaYer: GA E 13 A GL <br /> Name <br /> &-f .� �ox `�a _ <br /> Adress . . .- . <br /> �UE K6 1�� I�M %8a.0.5 <br /> City. State. Zip Code � ' <br /> -, c�, �/oZ 7/ <br /> Tele�hone Number <br /> Peraons to notify in case of�emergency - Name. Addreas. Teleohone Number: <br /> �� �JC� �A �L ��,�, �r � bsnni <br /> /� T �Z / l LTY 9V �S/l �/ S� .�J- -Y-�LD1+y _ <br /> �� <br /> G,, ., ,e ,=7t G//�. y,F�.Gs` as�s - 7y6� <br /> � �s� - H� �/ � <br /> �Ed�, �� .�soiy <br /> ' � 5�� � Ni�G �Jsti ..I /�UP <br /> �� <br /> [/2v�� fF N/N , ��23�'/- /15�2 <br /> ToCal number of services connected to the master meter � <br /> Pre�ent number of services in use � <br /> Account Number /O�l�5� <br /> 1'an Number /oa_ / � , „ � <br /> $ize of Service / " <br /> Date�Mailed �l-ab-�9 � _ � 5 -��'y <br /> � <br /> I <br /> �- ; <br />