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gy City Ordinance an,y meter "�unnl <br />shall be treate�'. as a 41�ter Distri <br />regulations. <br />ing more thzn one rremises or uaer° <br />t and com»l;/ �ith 4later .District <br />'rinter DlstricT.s nr� reouisPd to fi.l in and .ret!irn this form to the Clt� <br />/� of E�'erett, Ut111t1�s Dennrtment, �verr.tt, ,�l�shinqton 95201. <br />It may be <br />���`• mailed or brou�ht in, with �.ou.r r:a;/meqt or senarately. If you have any <br />�' questions� n]ease c�.].1 i°i•s. 6app nt 259-�7f�5• <br />, �lease xeturn the c�m^leted form within 20 days of receint to: <br />' ;;rs. Sapp - Uti:iity 91111r.� <br />� � Ci.ty of Everett <br />Evr,rett, 4!�snir.gton �,II201 <br />� '+1ATi:3 DI5TIiICf RFDCHT <br />Name of' 4later nistrtct (1: any) ,�l/�//�CAND !.�IATE�2 AS.i'oiC• <br />Treasurer of T'nYer: <br />Z <br />, �State, 'Lin <br />persons to notify L� case of emer�ency -::�me, liddress, TPle�hone Number: <br />t <br />f� �U b¢ r% i N�s <br />h"�r 3 6a x �o _____�_�_ <br />Mow/IuE %9y-�`/39 <br />�J �. � e � a ' <br />�', %G 'l,5' 0,(d Owe�✓ QQ <br />�Mo�vQot' i9�1—S�i9Z — <br />R� T ��r-�-- <br />2 %r/%- J-53 _"�.S'C _ <br />MoNRor' 99y � 9oy <br />�� Total number of.services r,onnected to,the master meter ��'f _ <br />Present number:of services in use �% O <br />Account Number �/%� �i � a _ <br />Tan ,Tumber G — <br />Slze of Service �� <br />Date Nailed � �' <br />� <br />J <br />� <br />