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By City Ordinance any c�eter <br />shall be treated as a•Wa�er <br />regulations. <br />��sunnl;ring more than one nremises or vaer" <br />Distr'.ot and comnly with Water District <br />'dater Districts are required to fi7.1 in and return this form to the City <br />� of Everett, Utilities Denartment, Everett. 'vlashington 9a201. It may be <br />��,,+� mailed or brought in, with your nayment or senarately. If you have any � <br />questions, nlease call Mrs. 6app at 259-�785• . <br />Please return the cownleted form witriin 2U days of receint to: <br />� <br />� <br />� <br />NTs> Sa�p - Utility Billing <br />City of Everett <br />Everett, Washington 98201 <br />� � b1ATEH DISTRIr,T REDCRT <br />Name cf Water District (if ar.y) Lq,K2✓i Pc-.� — <br />Treasurer.of rayer; <br />Telenhone *dumber <br />Persons to notify in case of emergency - nTame, Address,'Teleohone Dlumbe�: <br />.�a�E �f � �o �•� <br />J`�b'—�98U <br />MYl ICJ7 kBr- l�0 rl , i�YP� <br />1I1�Cw xP PL _ <br />-r2� �r,�. ��� ln�4 i d' 2f�� <br />.iG�'-! zz � <br />Total number of services connected to Che master meter ��- <br />present number of services in use �� <br />Account Number /0 /%� <br />Tao *Iumber //,P �— <br />Size of Service a�� <br />Date Mailed �d--60 <br />