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Ay City Orciinnnce any meter '�sunn'�;:tng morr thzn one nremises or user" <br />shall be treated as a 4later Distrl,.t and comnly with 4later Distx�lct <br />regu.lations. <br />Water Districts are requir�d to fiil in and .ret»rn this .`oz•m to the City <br />^ of Everett, Uti.litins D�nartment, sverett, 5�nshSng:ton 98201. It fray be <br />Y�� mASled �r brou�,nt in, with your �..xyment or seoarately. If you have any <br />�� questions, nlease call I!i•s. 6app at 259-�7�5. <br />?lease xeturn the comnl�ted form within 20 days of receint to: <br />p:rs. Sapn - Utility Billing <br />City.of Evenett <br />gverett, 4lashin,a,ton 93207. <br />'r1ATF.K IIISTHICT RE'� ORT <br />� Name.of Ylater District (if any� Cross Valley Wat�r Association, Inc. <br />� <br />� Treasurer of rayer: Cross Valley Water Associatioi„ Inc. <br />_ :dame <br />A axess <br />Snohomish, Was ington 9829� <br />C.i�y, State, 'Lin Code <br />568-6766 <br />Pelerhone I�iumber <br />Dersons to notify in case of emer�enc;� -[�'ame, Address,''Peleanone ATumber: <br />� <br />��a�1 Gary Haj.ek 568-6239 <br />Ti; 'l <br />�"� 16220 Three Lakes Rd. <br />Snohomish, Wa. 98290 <br />Carole Gabrio 568-•1375 <br />6317 No. Ridge Dr. <br />Snohomish, Wa. 98290 <br />Harry F7alster 568-7515 <br />20416 - 8Zth Ave. S.E. <br />Snohomish, Wa. 98290 <br />Total r.umber of services connected to the m��•te;r mete'r �� <br />present number of sc;rvices in use <br />Account Numbex � 3 <br />Tan Number Jo /lr <br />Size of Service /� <br />Date Ma',led -�/ — d <br />77 <br />0 <br />