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By City Ordlnance 1n:/ meter "sunnl ing morr. ti,ar� one nremises or user° { <br /> , shall be treated ns a Ylater Distrl t and com»ly :alth 47ater District <br /> � re,gulations. <br /> �rlater Districts nrn rrnuix'Pd. to Pi .l in and .ret�irn this form to the Clty <br /> of Everett, Utiliti^s I'irnartrent, �vrrett, ',1.�sl:invton 9&201. It may be <br /> ,,• malled or brought in, teith your T;iy:nent or :>enarately. If you have any .� <br /> questions, ulease c�.11 i�:rs. Sapp �t 259-87�5• <br /> : Please xeturn the c�T^le�ed form Y+ithin 20 d:ays of receir,t to; <br /> ;irs . Sa�n - Jtility Billing <br /> � C].ty of Lverett <br /> , E'✓ere�t, Y?zshington ?,fi201 <br /> ';:ATr!� UItiTRICT RE°C';?T <br /> Name of' 4later Distrlct (if an;�) {PILCN�l �-K R� V��� � �'���e�- '�S�• T'1 <br /> Treasurer oC rayer: C 06��: /N�Dt{S�Y Ic� / ^��- <br /> ;�a^e <br /> 198/ S� L2 Sc�-�.BrsC L.AK-� � <br /> � Address <br /> � ' L�w,uwmep ul�si�1- �2{p3V <br /> City , State, Zin Code <br /> '77�f-S/b� oQ 77S-S�7J�6 �E"�a�i <br /> Telerhone ?:umber <br /> persons to notify in casc of emergency - T;ame, �d.dress , Telenhone Number: <br /> ; <br /> � � W I����h G si R-�aiC rc. <br /> i <br /> o'1G4� LO I��� �uti W , � <br /> A��-n wmc,r� ru�w� W,� � <br /> ��s-s�,e `r,�n3�, <br /> � <br /> i . <br /> •� Total number of services connected to tne mastier meter �� <br /> nresent number of services in use .�� <br /> ;rcount Number � � � <br /> .an Number. ��— <br /> Slze of Service � � <br /> Date piailed �/.T,yi� <br /> �1 <br /> � <br />