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•shalltbe�treatedeasna Water Distrt,tnand�comolynwith WaterSDiatrict r„ <br />regulations. <br />Water Districts are required to fill in and return th±s forr;, to the City <br />�of Evcrett, Utilities Denartment, Everett, '�lashington 98201. It may be <br />mailed or brought in. wit'.i '-our nayment ur senarately: If you have any <br />�-' questions� t�lea�c call Mrs. 6app at 259-�785• <br />Please retur�i the com*+let>ed form within 20 days of rece:nt to: <br />Mr.s..Sa�p - Utility Billing <br />City of Everett <br />Everett, Washington 98201 <br />- WATER DISTRICT REpORT <br />Name of Wat•er Distriet (if any) f>71 � r"n � S VI/P�'Ce% U1�t � <br />Treasurer of' �ayer: <br />� 1.,) �/ A V c: � <br />s6�,-y5>� <br />Teleohone Numoer <br />Persons co notify in caNe of emergency - Tdame, Address,'Teleehone Dlumber: <br />� <br />..��,lo�, ��a ' 'n1 r 1��..� '-� �- �/ `; '� �i �/ � �. l `- �s-�`:f �- ;�,��d��ry� <br />�7 �� ��� e � � � , <br />t �% r� � �. ��� ��t___�C'_ i f�k �r9 3� 4C� -, �' S"�,.-r:.�!'S' /� M��ia�.ir,s <br />_ --T <br />Total number of services connected to the master meter () <br />c, <br />Present number of services in use U <br />Account Number /D/ D�Z <br />Tan Number �a� - <br />Size of Service � �� <br />Date Malled .P-/Q ��� <br />