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By City Ordinanue any meter ";unnl��ing more than one r^emises or user" <br />shall be treai��_ as a'dater Distri_:.`. and comnly with Water District <br />regulatiuns. <br />Water Di�tricts are required to fi.11 in and re urn this form to the City <br />�of Everett, i1t1l:tles Denartmerit, Ecerett, 4lashingtoti 9a201. It may be <br />�mailed or brought in, with your rayment or senarately. If you have any <br />questions. olease ca71 N,rs. 6app at 259-8785• <br />Please xeturn the comnleted form wlthin 20 days of receint to: <br />� <br />� <br />� <br />�' <br />Mrs. Sapn - Utility Billln�; <br />City of Everett � <br />Everett. 4!ashington y,8201 <br />WATE1? DISTRICT REDORT <br />Name of 4later Distrtct (iP any) A/nOYs/ ���D6� i.�Arc-,��QP. <br />Treasurer of rayer: A/e,�>r/ ✓l�o[f (..lA7,C r�RP. <br />N�me <br />�/�J A/oa�rl RiDG.£� DR. <br />Address <br />SNONOrniSN r,�i�. 9 Ra 9 � <br />City, StAte. Zin Code <br />� <br />persons to notify ln case of emeraency - I�ame, Address� Telenhone Alumber: <br />� <br />�A 1%e�J C���om •r?a8 —a3��7 <br />. <br />"—.--' • <br />. � . ,. <br />� i � ri <br />l A/C��. l>/] /C /� i�ln.p^JQ%J� <br />�Oi-ficE- sz,8-L"li4 <br />--�3/7 nlo, l.'iDG� D��. <br />S,�o,✓o.��,s� w/� 9�aso <br />�.Q6G- Mini� 3L8-3oGx_ <br />I 3' A/., , l� i_nc �__LLey <br />, � . ., <br />. . .. � <br />Total number of services connected to the master meter � S <br />present number oY services in use 3� <br />Account A'umber � �� <br />Tan Number / ._ <br />Size of Service "' <br />Date Mailed �f'�/J — <br />