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9205 52ND ST SE LINE 5 2017-04-17
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9205 52ND ST SE LINE 5 2017-04-17
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Last modified
4/17/2017 7:09:28 PM
Creation date
4/14/2017 3:45:07 PM
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Address Document
Street Name
52ND ST SE
Street Number
9205
Tenant Name
LINE 5
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shalltbe�treatedeasna Water Distr�ctns d com�lynwith WaterBDietrict r" <br />regulat7.ons. <br />Water Districts are required to i'i11 in and return this form to the City <br />of Everett. Utilities Denartmant. Evarett. Washington 98201. It may be <br />mailed or brought in. with your nayment or aeparately. If you have any <br />questiona. please call Mrs. King at 259-a?a5• <br />please return the comvleted torm within 20 days of receiot to: <br />Mrs. King - Utility Billing <br />Clty of Everett <br />gverett, Washirigton 98201 <br />. WATEA DISTRICT REPORT <br />/�� �/� <br />Name ot Water Distrlct (if any) _� <br />Treasurer of Payer: � r <br />g 2 U � � �- �L_ <br />Address <br />Sn 0 it ,� LU u�_�+_ <br />— City. S'bate, �iv �v� <br />'? 2 U _ t,/ 9' / � <br />Persons to notiiy in case of�emergency - N�e. Address. Televhone N�ber: <br />�� 1,,�� ►�,� so i�� � .s <br />9� v � .���.�— <br />�,� o h c.� d s i� �3.� y- y9i,� <br />Total number of ser�'ic�s connected to the master meter_ .' <br />Present n'amber of se�'� icc:s Sn use <br />Account Number �:��! %� <br />Tan N�nber ' �; <br />Size of Service� <br />Date Malled ��73_�— <br />_�" � _" <br />,� <br />r� � <br />� � jc <br />� ��, <br />, �, <br />J�j <br />,� � � � <br />�i' '''� <br />
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