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By City Ordinance any meter ��aunnlying more than one Dremisea or.uaer�' <br />ahall be treated as a Water District and comnly with Water Diatrict <br />regulations, <br />Water Districts are required to fill in and return thia form to the City <br />,.•�,, of EVerett. Utilitiea Denartment, Everett� Washington 98201. It may be <br />�� mailed or brought in. with your oayment or s=parately. If you have any <br />questiona. please call Mrs. King at 254-SjBj. <br />Please return the comnleted form within 20 days of receipt to: <br />Mrs. King - Utility BSlling <br />City of Everett <br />' Everett. Washington 9:i201 <br />• . WATER DISTRICT REPORT �� �,+�� l�AN�' �OC.�� <br />Name of Water District (if any) `T��r�e c'� 7u'�rn'�(/,� ? <br />Treasurer of payer <br />City. State� Zio <br />5 —�n�OS <br />Persona to notity in case of�emergency - Name. Address. Telenhone Numbers <br />n �-/% <br />� , �'t y1L-Gt�l� .�%�-7D:.1'� ���ti_,r�,� %19n,TQti1� <br />�''�n S • i U "`2`�,t `' _L ' <br />o-'3� /�4o t�,.4•-x�w<��L�,Ne..F.��crx�'fr6�"d17U �U�70(� �ti`P!�i� oTa.,�r� 711hu�L/ <br />G, /Z%� - �J 3/0 ��L <br />.�' �� - <br />iG� �,t� G.� � ,,�;C', G�� 71;�7� tr.� 9.�2,�Z _ <br />%�3 -C%S,� �` <br />Total number of services connected to the master meter %a / <br />Present number of services in us <br />pccouzit Number /o � �� <br />TaD Number a�c�ay <br />Size of Service �" x 1" <br />Date Mailed y-�6-�y <br />�� <br />