Laserfiche WebLink
By City Ordinance any meter "sunnl•�ing more thnn one nremiaea or uaer" <br />shall be tiested as � Water Distri•t and comnly wlth Wnter Dlatrict <br />regulations. <br />�Wqter Diatricts are required to Piil in and return this form to the City <br />of Everett, Utilit].ea Denurtment, Everett, 'dnshington 98201. It n..y be <br />� mailed or brot�ght Ln, with your nayment or senarately, If you hsva any <br />questiona, olease call Nrs. Bapp at z59-8785• <br />Dlesse return the com�leted form within 20 days of receint. to: <br />p"rs. Sapp - l:tlllty <br />Clty of �erett <br />Everett, Washington <br />Billing <br />9�201 <br />41ATER DISTRICT REpORT <br />Naroe of Water District (if any) Cf��'�kY �� I-\ � <br />Treasurer oi' rayer: lv I l. � i A ILl A. Tr'�� � <br />-�Name <br />I 2�J C� � (��c� S f- — <br />A dress <br />S f� ►-iC� �ti,.I S 1'I � I C F1 �' ,� z% v <br />Clty, tate, Zln Code <br />5 E-'p _ �. � 0 1 <br />Talenhone Nui <br />persons to notify in cuse of emer.gency - h'ame, Addresa, TPlenhone Plumber: <br />� <br />. ,��f\V � j? �� i\�: 1) <br />S `) / �) � 1 7'l% r ]V (_ <br />��'� l��i', l� � �.S ) �+ l�' /"1 �'j 1`l l) <br />S � 5 - Z � � ) <br />�S, l'r ��' �� GL �/ <br />i <br />FCo��Z � i.sJi l) %(l i <br />,5tie ilt,,..r3r� , l.,.{ `i� e `j � <br />�-6 3 —.5-`I [ � / <br />_i�./ [ ( irf t ��. <br />�_ �� It <br />/ r c, 1 �.�, Sf <br />�Wi I'i<�li.,�.ihl, /-��� jJ����,.. <br />� <br />!,(. J (��i � <br />� <br />Total number of aervices connected to the master meYcr _/Y <br />Dresent number of servlces ln use <br />Account Number /D/(,� 7 <br />Tan Numbe_* fi� i <br />Size of Servlce�-,��. ^s ��� � <br />Date Meiled {��i,i-.�p <br />� � <br />