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shalltbe�treatedeasna Water <br />��sunnl.Ying more thanwith WaterBDiatricteTn, <br />Distr��t and comnly <br />regulations. <br />Water Districts are required to fill in and return this form to the City <br />of Everett, Uti11t1es Denartment, Everett. '�lashington 98201•ouIhaveyany <br />:xy mailed or brought in;, with your oayment or senarately. If Y <br />J questions. please ca.11 Mrs. Sapp at 259�a785• <br />please re:urn the comnleted form within 20 days of r��ceint to: <br />Name of Water Distr <br />Tre�ux�e"t�of �aj�ei� <br />N�rs. Sapp - Utility Billing <br />Clty of Everett 8201, <br />Everett, Washington 8 <br />3 � �_ / /� '7 � _ ,�— <br />Telerhone Number <br />Persons to notify in case of emergency <br />> > c/—�G�3 <br />�� � <br />�� ._s <br />_ Name. Address,'Telenhone Number: <br />1 <br />v <br />cc� �`� � <br />�� <br />Cwz '�' , <br />�'���� <br />� � <br />Total number of services connected to the� s�er'meter <br />� ys <br />Present number of services in u�' <br />J <br />•pccount Number � �3 <br />Tan Number -- <br />Size of Service , � — <br />Date Mailed�� <br />