Laserfiche WebLink
AY City Ordinance any <br />shall be treated ne a <br />rPg�ilet'.ona. <br />Wnter Dietr`�>tngnd�com�lynwlth Water9Dlstricter11 <br />�Aater Dlstrict� nre req��ired to fill in and return this form to the Clty <br />^ of Everett, Utllit-Ses D�nnrtm�u�tneEmenttor senaraY,ely.98If1youIhaveYany <br />malled or bruugnt ln. wlth y Y <br />{. questions, nlease call t�rs. 6aPP at 259-8785• <br />pleRse return the �om�letefl form withln 20 days ot receint to: <br />p:rs. Sn?l� - Utllity <br />City of Everett <br />Everett, Washington <br />Hilling <br />98201 <br />WaT}.R DISTPICT RE°ORT 1 <br />tdame of 4lqter District (Sf any) <br />Gl�.rxF..c_ 7�-f��- C�C�2-LG���G2/ <br />Trer�surer of r�yer: <br />��� <br />Tele�hone PJumber <br />persons to notify in cr�r,e of emergency - I2ame, Addrr.ss, Teler,hona ATumber: <br />� <br />�,�j + !L ) %?c7K 2eea_n�,�x t-,�� <br />r�T � CL cPi �'tlLl�-c_ C"�- ( <br />� . o7G�� SC� /yL�;l,S— �ilj� J � — <br />/a� / S —�" <br />� `v �J�-- <br />Y $—•S `%�— �, <br />�2'� %�,�-c�i ft � ct.. <br />�a, -� � �,-�c S � <br />.5�8-�29oa <br />� <br />"Potr�l ��umber of servlces connected to thP master mPter �} <br />Dres?nt number of servlces ln use /•5� <br />� �l ��. <br />pr,count Number_ /� i ,______.--- <br />TAn p:umber �� - — <br />Size of Servlce " <br />Date P1alled �'�� �J�� -- <br />