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� . � . <br /> gy C{t? Orclinance �ny meter ��sunn]' ir,g more than one nremises or user° <br /> , shall be treated as a W:iter Distri t and c�c�l� with 47ater .Diatr?_et <br /> • regulations. <br /> t�ater Districts flr� requisPd to fi ..l, ln and return this form to tte City <br /> � of Everett, UtLliti�s T1r,naTtnent, �vrrett, :�I��hin.�,t:on 9E3201. It may be <br /> � mail�d or broii�ht i��, i+�ith your rn,�ment or senarately. I: you have any <br /> questions, vlease ca.11 i•'rs. 6app at 259-R7g5• <br /> ,i Please xeturn the comrleted form vrithin 26 uay: of receint to: <br /> ! ' � rs. Sapn - litility 31111r.g <br /> Ci.tj of' �?verett <br /> , �veret.t, 'v!ashir.gton �8201 <br /> � , ��;n�rr� nT�<i�zcT ��Dc;,m <br /> Idame of ltater District (i: any) ,�,wLaC,, �.�.� G�A�r �`_ <br /> Treasurer of nayer: �0-�.u:a 1� �C,u,h �sx A-i,* � �� <br /> � Q ;vam� <br /> �? U . �rY oZ�f <br /> Addre -s <br /> ,� . :�atio,x�6 �,+�y. 9 � �.Ra <br /> r,ity, St�te , Zin Code <br /> `� S�S � s33u <br /> Telenhone P1um'�er <br /> ?ersons to r.otif;� L� case of ec�ergency - :;aTe, /�dd•� • �s, Talenhone Number: <br /> ', <br /> I �:. s � a« ,P,�at`:s7a8- 9�07 ryro3-y.7..�i,�'/; J'-F .,�.`rqa�r/� u�i�fif't� <br /> � � ff �c�.�t,•Ls(c$• Silo <br /> . q_�/.�Id �*�., �y}ro -�d,k-I � SE. ,�.w+���aS �[/AY� <br /> rt- ^ <br /> I <br /> ��� SI(,���r� f.I �.ra� . �LS—M�/1/ �f/0�( � l3/.F4wSt'.{ Jned�rin.�s� Wp. 4��A <br /> I <br /> 'I . <br /> �� <br /> �� •� Total number of services conrected to the master meter � 7� <br /> nr.esent number of services in use �'1/ <br /> pccount �maber ��,�2D.� <br /> } Tan Number /3/1 <br /> Size o: Service �' <br /> Date Piailed -/�= �D <br /> i <br /> �,l <br />