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WATER SERVICE AV�ILABILITY FORM <br /> The City of Everett�can�/cannot _provide water service to this <br /> site. The water depa�tment doe does not, have ev.is ' � <br /> facilities to serve this si The pr�ponent, will ill not <br /> be required to extend existing facilities to :�erve — e. <br /> Customer is required to submit a plot plan attached to <br /> application for water service. <br /> Lot Description: <br /> Property address: �S// - .3(n y`° .^tUP fC <br /> � ��� <br /> v <br /> �f?Wl N � �/t�q�� � <br /> property owner (print) utility superintendent <br /> 7 � 5 .S� CVP�P�I�,r/�Ik�t'i� Z — J� /`� <br /> addressp 6� ��e�e� 9g�a� date <br /> Dr> <br /> 3�(�F--�Sa �� <br /> phone <br /> l <br /> datP <br /> JB:bc/WATAVFRM <br /> .��� - "�. <br /> � �, <br /> � ,� <br />