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{_.� <br /> � -I <br /> Ry City Ordin2nce :in� �iel:er usunnl 't���� .�r �' t!� �' �'�" *', eris .� or user° ��•,'"j <br /> n:.,,� , r.}�� �' � ��i str•ict � <br /> shall be t.r.eated as a �l�ter Distrl t � ��a �:� <br /> � TP,gLl.L3t'107'1S. <br /> � ]'� . i:r) i.�i . , t.::�i <br /> ^ ',,��Ler Distric�s are requirPd to f� � i :: � =` � � �- ° <br /> I ` ' <br /> Of FVCPBt.L, Utillti�s ]�P.T1IITt:ii1817t� _Vr�'Pe �L � %1.S'! j-[1-'�O1 )L�..'Ji TL � -,y ��' <br /> � mai:_ed or bron�ht in, wlth your raymer�t or senaratel��. If ;�ou ha�e ar.y <br /> qr�:>ttons , nlea�e c.al1 i4is . S,Lpp at 259-a785• t� . <br /> Dlr�.s.=_ return the C-,;;n]2tP.Cl form within 20 days of receint <br /> ;:rs. Sa?n - Utility Billin�• <br /> City of Everett <br /> �verett, 4?asV�in3'�on 9,�2�1 <br /> 4!�?TE:� DISTRICT :�EpGRT <br /> Name of 5iater District (if any) — <br /> Tre�surer of rayer: I'7ARUEy �AGu�Ei/ <br /> ,Iane <br /> S�IS �l �rt S. F' <br /> ��,q.dress <br /> � � <br /> F��,� E<—� �� �'�0> <br /> City, State, Zin Coae <br /> 2s 2 - '/7« -- <br /> Tel.enhone ?lumoer ' <br /> persons to notify in case of emergency - i�ame, Ad�ress , Telenhone Plumber: <br /> � f n E t r�2 w� �1 <br /> _ S a.� c r�s u�8 0✓E <br /> I <br /> � <br /> Total r.umber of services connected to the master m�ter '3 <br /> pr.esent numbnr of services in use 3 <br /> Account Nw�tber /���n .3 <br /> Tan Number �?Q'7/ � <br /> Size of Service �� <br /> Date A9ailed � -/•�'-/� <br /> � . <br /> I <br />