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splelltbe�treatedea3n� Wnter D1StT'JtnRnd�com�lynwlth 47Pter31)latricY.Pr11 <br />rPgulations. <br />Water Dlstrlot3 nre „e9ulrn,d to fil] in nnd,,�nshington19gz01�. tIt:t�aYCtiey <br />of Everett, Utilitle�3 TiennrtR.ent, Everett, <br />mailed or brought Sn, wlth your neyment or senaretely. If you have any <br />questions. nlease call t:i•s. 6npP At ?59-a?�5• <br />Dlease return the com�lr.ted t'orm w1tP�in 20 days of receint t•o: <br />p',rs. Sa�p - Utillty <br />C1ty o!' Everett <br />rverett, W�shin6tan <br />Bi111ng <br />g82o1 <br />'�lATER DIST:tICP REpUHT <br />t �re 0.vi� �S �' <br />Name of Water District (Sf nnY) \���� I� � � � � <br />Treasurer of rnyer: <br />t/, o , -y -� �r �� <br />e <br />r <br />Dersons to r.otify in case of emergency - t�art�e, Address, Telenhone Plumbe': <br />' �I <br />^ i ) v� ,�t�, <br />, o l y, �,v t: <br />� I S�� � - �� s79 <br />� <br />� j <br />—�i v ,� c, 1 d .L� . ; n .�� � ,-�. <br />� <br />c � r (' � <br />Tl,,c?�- )� 1 <br />` .:,, ,.1., ,S(a �'— .3 ' <br />�. <br />� <br />� <br />�� <br />J <br />C�+u� r 's �� s�'/!) <br />7 J'r-l� �- 1�u%- � .!/.9 �� (' <br />�u ('-- � �,'l�— <br />Total number of servicPs connect�d to !ha m�ster �reY.er /� <br />�resent number of service� ln use �� 7 <br />qccount ?'umUer�J� (% <br />Tan Nu*!.beT �d <br />Slze af Servtce � <br />Date Me�iled_ ' J — <br />