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Ry City Ord�nflnce any meter "sunrl ing morc thln o7e nremises or user° <br /> , , shall be tieated as a 4inter Distr � •t and comTly vrlth Water District <br /> re'gu.latlonu. i•' <br /> Water Districts nre required to fiLl in and ret�irn this form to the City <br /> of Everett, Ut7.11tirts Denartment, F,'verett, 5!asl;ln?ton 9E3201. It may be . <br /> �� mailed .or broii,3ht in, wlth your oa;/ment or senarately. if you have any <br /> questions. nlease c�a.11 i'rs. 6app at 25�-R'1�5. <br /> ?lease xeturn the comnleted 1'orm within 20 dnys o; r�ceint to: <br /> h1rs. Sapn - Utillty Pilling � <br /> rj,ty .of Everett <br /> . Everett, L'ashington 9F3201 � <br /> 'dAtF.'? DISTiiICT Hi:DORT <br /> _ t <br /> Name. of 4later Distrlct S�f ain.v) � <br /> � I i <br /> Treasurer of rayer: �j/. :�{IC� � l:� [ ( i R/ ! <br /> ' :d:z��:r I <br /> � _,� (' �LO �C � /^.'�'I� S f . .S. GN- ' ! <br /> Address <br /> � U r� i/ �C �'/� `/ S'Zl" `� � <br /> C1ty, Stiflte� Zln Cade <br /> =:j_� c� � %�--� / 7 <br /> , Telenhone idumoer <br /> � <br /> nersons to notify Sn case oC emer�ency - I�'ar,:e , A�dress, Telenhone Plumber: <br /> �� <br /> e:`� <br /> �Y7_:r <br /> � <br /> 1 <br /> � Total r.unber o: services connected to the r�asLer � �:ter '� -�%��.,�,.,i <br /> Presen� number of services in us� �) - �`j�.�,,�� ti� <br /> 'Accounb humLer /G��3,� .3 ' � <br /> ma� P1u,;,ber /� 7,�.,�� <br /> Size of Service i� <br /> Date A;ailed �/ - <br /> � <br /> � <br />