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By City Ordinance any meter ��aunnly'•.ng more than one nremiaea or user�� <br />shall be treated as a Water District and comnly with Water Dietrict <br />regulatione. <br />Water DSstrlcts are requlred to flll Sn and return thls form to the City <br />of hlrerett, Otilitiea Debartment, Everett, Washington 98201. It msy be <br />meiled or brought in, with your Dayment or senarately. If you have any <br />questlons, please call Mra. King at 259-B7a5• <br />Please return the cumnleted form wlthln 20 days of receivt to: <br />Nar�e of tilater Disti <br />Treasurer of payer: <br />Mrs. King - Utility Billing <br />Clty of Everett <br />Everett. Wsshin6ten 98201 <br />79� 6��3 <br />Telenhone Number <br />Persons to r.otify in case of�emergency - Name, Address, Telenhone Number: <br />, <br />`o. i i.� i�i� � i:.. <br />/ / . <br />. . / i . , � / �., <br />i <br />� �/ . <br />,./ <br />i . � i •1 ��i/. ,/ <br />, _ � _�. �. <br />� / iI <br />I , I . �� <br />��I i.L � <br />Total number of services c�nnectei to the master meter <br />/ ' <br />?resent number of services ln use �� <br />Account Number ��.^,;;� � <br />Tan Number i � 7C'/ � <br />Size of Servlce °�� <br />Date Mglled_ y-�H-�y <br />� <br />� _as-�9 <br />� <br />