Laserfiche WebLink
Py Cit.y Ordinance �iny metec <br />shall be treated ns a'�Iater <br />rPgu.lations. <br />°eUnr�"iflg mor� than one.nremise� or user�' <br />Distr'.'t and comnly with 4later Distrlct <br />'a:;,ter Dlstricts c�re requirrd to f i. �1 in and ret�irn this form to the City <br />^ of Everett, Ut�.li�`.1�5 l�enartment, �'��rett, :�!?s1;ir.�ton 9a201. It may be <br />��1 mailed or brou,.,h'. in, ��.�it}: y�ur r:x�ment or senarately. If you have any ,� <br />�,' questions, nlease c�.7.1 P:i•s. 6apu at 259-F+'785• <br />rle�se return the crnnr,leted. forr� vrithin 20 days of receint to: <br />Name.of Ylater <br />Treasure.r o; r+ <br />p;rs. Sa�n - Utility 3i17.ir.� <br />City of Everett <br />gver:�tt, 41<ishia�;ton 98201 <br />Telerhone 'rlutnoer <br />Persons to notify ln case of emer�ency - I�'.ame, Address,'Telenhone A?umber: <br />� <br />i1 ��/! � s.v ��C�'�QG.U�--- <br />„�. <br />�:✓ � o i i � � � ��: <br />�i/.�i /�1 G�/cc�L 1 %'�? oS <br />� <br />� ./� �� - �- <br />♦ <br />. <br />Total number of services connected to the r�aster r:et�r �� <br />Pr.esent nur��ber of services in L.se__^ �� <br />Account Nuir.Uer /D�/c1 G/' e0�2�:tf!" ��� -C�'�"'��'"t(i <br />man Number <br />Size of Service�_ �` <br />Date hiailed ,f''/.� <br />