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By City Ordtnance sny meter <br />shall be *•reated as a Water <br />requlatione. <br />��suvnlying more thsn ane oremiaea or user�� <br />District Rnd comvly with Water Distrlct <br />Water Distrlcts are required to fill in and return Lhis82o�rm tItt�e�yCbey .. <br />of Everett. Utllitiea Denertment, Sverett. Washington 9 <br />'.,_ mailed or brought in, wlth your oayment or senarately. If you have any <br />questions, please call Mis. King at 259-8785• <br />please return the comnleted form within 20 days of recelnt to: <br />Mrs. Xing - Uttlity Billing <br />Clty of Everett <br />Everett, Washington 98i01 <br />WATER DISTRICT RE?ORT <br />Name of Water District (if an;/) <br />Treasurer of payeTs ��A�� �3�'��'` <br />2� ?� Name r�� 5. �; . <br />p dresa <br />�nc,�,2cr•. ��A. Y�=��.� <br />City. State. Zlp Code <br />75'Y-�' <br />Persone to notify in case of�emergency - Name, Addrese, Telenhone Nwnber: <br />t� �rL Sn�RK '7'c=�� iA�-��R�JI. — <br />��, -- <br />,^,.t uiLit,Jr. w/1- <br />�?'.3'� ic 1 f� s.� •_��=�1�. <br />��Y - S'�3 — <br />�/1 E[. ,• �n� �+r.�r <br />�T � /.t r,:. �c� �,;,� <br />7'i`t- sC 5? <br />'7`1�f - R?7-6 _ <br />Total number of services connected to the master meter, <br />Present number of services ln use •} <br />pccount Nlzmber /c 2' 9 - <br />Tav Number a or ��� _ <br />Size of Servlce r" _ <br />Date Mgiled �!-ab'.'9 <br />