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17917 DUBUQUE RD LINE 3 2016-01-01 MF Import
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DUBUQUE RD
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17917
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LINE 3
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17917 DUBUQUE RD LINE 3 2016-01-01 MF Import
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Last modified
5/4/2017 9:57:40 AM
Creation date
3/7/2017 2:25:27 PM
Metadata
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Template:
Address Document
Street Name
DUBUQUE RD
Street Number
17917
Tenant Name
LINE 3
Imported From Microfiche
Yes
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Ry City Or�inAnce �n�� met?r "sunnl <br />shall be treated �s 2 l�later Dlstrl <br />rP,gu.lations. <br />ir.g morr. th-1n one nremises or user'� <br />t .�nd coM»ly :alth 4later Mstrict <br />'dater I)iStTir,ts cir�� rrauirPd. to i'i:.l in and .ret�irn this form to the City <br />�'� of Everett, Utiliti�s Den�rtnedt, Lverett, :�1:is}�ington 9�201. It may be <br />(`"�� mailed or brought in, with ��our r:�,�ment ar senarately. If you have any <br />��"` questions, vlease ca.11 i•'�s. 6apo � t 259-�7�5• <br />Please xeturn the comrleY.e:d f'orm within .?.0 days of receint to: <br />, <br />;�rs. Sa�p - lJ:'ility Billir.,g <br />C i ty of Evere �:t <br />rv�rett, 4lashin?tor, �II201 <br />';lATG3 DISTc?IC'P Rc.�O;iT <br />1•lame of' 4later District (if any) <br />Treasurer of rayer: <br />'ll>G ���(/! 5� <br />City, State, , <br />�'l� �' <br />Te?.erhone <br />diK�ISq <br />r <br />i <br />persons to notify Sn casc of emercency - i�ame, A3dress, Te:lenhone ATumber: <br />1 <br />�;;� �,f3D d � <br />Tot�l number of services connected to the master mete�� <br />nresent numUer e scrvices in us� <br />Account Number /1�,�-5��- <br />Tan Number �: <br />Size of Service �'� <br />Date Mailed �{����1= d <br />� <br />
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