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By City Ordinnnce 1ny meter "sunnl Sng morr th^n one nremises or user" <br />shall be treated as a 4later Distri t and com»ly xith 4later.District <br />rr.,gu.lations. <br />W�ter Districts nr� required to ;i�l in and reC��rn this form to the City <br />� of Eve.rett, Utiliti^s nenartment, �verett, 5fas};in:;ton 98201. It may be <br />�`�� mailed or brought in, vrit� you.r rnyment or senarr�Y.ely. If you have any <br />questions, tilease c.�.11 i�:rs. Sctpp �t 259-�7R5• <br />Please xeturn the co:nTleted rorm within 20 days of receint to: <br />I+�rs. Sa?p - Uti.11ty Aillir.�^ <br />City oP Everett <br />i;v��rrtt, 4lnshington 98201 <br />'r1A'Pis!: llISTRIC'P R �DC;3" <br />Name of'4later District (ii any) <br />Treasurer of rayer: <br />Telenhone �iumoer <br />?ersons to notii'y in case of emer�.^.ncy -'stame, Ad.dress, TPlenhone Number: <br />/ � � �� � �� 0 �S nil�/�iJ ns n� <br />� �i% / ! �'� � Ll�r �.1 <br />y� � i � � : r� ��i .� �, .�� �.� 90C'� L�.��^�-� ��.,� <br />� ��'- /� '%ll � �ln�' - �95G> - <br />��L��i�� C'�F�Z.,c2 <br />� <br />C�[x/C TI "S� v�(,i-Y�� %/ <br />�/ �— -G/�"cP� <br />Total number of services connected to the master meter �� <br />nr.esent number of servl.ces in use_ <br />Account \umber_�!� i 5� � <br />Tan Number <br />Slze of Service <br />Date Mailed -- �f <br />