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1?y Cit;y Ordln:�nce .i.�y meter °SUnri ','if1R mor�: thzn onF nremises or user�' <br /> shal.l b,: treated as a ��I�Y.er Distr' ' t and comTly vrith 4J1ter Dis��ict <br /> rrgu.lations. <br /> 4!�t,er I)lstrlcts arr reqllired to f'. �1 ln 1nd ret�irn this form to the Clty <br /> � of E��erett, Uti.11L' i.�s D�narrTent, �verett, ':i�shS.n�;ton 98201. It tray be <br /> mailed or brot�ght in, wlth your ra;ment or senarately. If you have any <br /> �� questions, nlease oall I:�s. SaPP :�c 259-87R5• <br /> please Teturn L'he com*+leted form iaithin 2G days of rece.:r,C to: <br /> � ' 1�irs . Sa;�p - Utility B1_�ing <br /> Ci.ty of Sverett <br /> , j,:verett, 4f�shin�ton �;f3201 � <br /> � <br /> 'dATE!i DIST?iIC'I' Ni:°UR?' ' <br /> �ame. of 4later District ( if any) �C�/� ^ <br /> � Treasurer of rayer:��r"� '� �//Y`��li/l /' - <br /> � ����/1� �� '`iame <br /> -y'1-,�—� !�''�' '� <br /> '�?d�1 r�ess <br /> ,(,,�?sdo� - � L�/N i�� <br /> �T Ci'cy , SL'at,e , �in Cocte <br /> 7 7�-5cx>3 <br /> � T�lenhone ilumoer <br /> � <br /> persons to notify ln case of emer�ency - i�'a:;e, bddress , 'Telenhone D?umber: <br /> ; <br /> 1�, f'..,���i �F� ��T//N,+.� _ !7't�0i� L� 1`�''liGr/�'/���.�✓ <br /> � ��.� [�IIX.,��Gi� lG�`//c�la?tf/1 `i/AJ� ��'//- G✓'��l o- �' .eN". �1�`,F� <br /> j � � - yd.s'y —,33�r-��� � — <br /> i .. c---����'���� <br /> C��I] ��G/����//A'G ✓ <br /> '� <br /> . , � _�l.n:� Bi.v� .�z' <br /> �y'il/!!'/L�?�Lt/.�/ �G�� . . <br /> 77� - sZJns' <br /> Tatal number oi seivices connected to the master reter �� <br /> pre�e.it number of services in use <br /> �� <br /> i <br /> Acccunt NumUer � � <br /> m-�n iQumber <br /> � Size of Service �� <br /> Date A1ailed '' = b <br /> i � <br /> � <br /> 1 . <br />