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By City Ordinance any meter <br />shall be treated as a Water <br />regulations. <br />��sunn�;,�ing more than one nren.ses or user" <br />Distr+�:t and comnly with Water District <br />Water Distr�cts are required to fill in and return this form �o the City <br />n of Everett, Uti1�.tles Denartment, Everett, '�lashington 982G1. It may be <br />i`� mailed or brought in, with your ��ayment or sen�rately. If you have any <br />��+� questions� nlease call N:rs. 6aop �t 259-fi785• <br />plesse return the comnleted form within 20 days of receint to: <br />. ;�!rs. Sapp - Utillty Billing <br />City of Everett <br />Everett, Washington 98201 <br />:� <br />YIATEF. DISTRICT RE90RT <br />,�-°. D�S�R\�� �ATE.P AsSh <br />Name of Water District (if any)�:,�� <br />Treasurer of Dayer: <br />in�:�3d�:1�� _ <br />Te <br />Persons to notify in case of emergency -[da^ <br />d <br />REA���c E.r _ �E� A �__ '�— <br />,�CA„ A�(�us -��arcl lilpml�e� <br />�1�og �31\ p�E ��- <br />E� E«TC ��� 33y� ia�;x _ <br />;, Address,'Telenhone Number: <br />U�ti:,� n1�Re�5n►i� IR�5�2n� <br />��2`I �63 �c� �uc, SF <br />�v e �r �71, l�P. q dQ5 <br />334 -f��D <br />Total number of services connected to the master meter � <br />Dresent number of services in use 'tU <br />Account Number /d670 <br />Tao Number ��� � — <br />Size of S,ervice h"" <br />Date Malled ,�- _ � <br />� <br />