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f�r 1 <br />V1: <br />By C2.ty Ordinan^.e any meter "sunn�-;ITng more than one nremises or uaer�' <br />ahall be treatel as a Water Dlstr��ct and comrly with Water District <br />regulations. <br />Water Diatricts are required to fill in and return this farm to the City <br />of Everett, Utilities De�artment, Everett. '+Iashington 96201. It may be <br />mailed or brought in. with your rayment or senarately. If you hsve any. <br />questions, please call Mrs. Bapp at 259-8785. <br />please return the comnleted form within 20 days of receirt to: <br />P'•rs. Sapo - Utility Silling <br />City of Everett <br />Everett, Washington 9a201 <br />YlATEF. DISTRICT REpORT <br />Ivame of Water Di:`rict (.if any) <br />Treasurer of Dayer: <br />Name <br />� Address <br />City, State, Zin Cod�; <br />Telenhone Number <br />Persons to notify in case of emergenoy - t2am,;, Address,'Telenhone Number: <br />i <br />� 2 L217z <br />� <br />��r L� /9 _ G a �L, �R �. <br />�z�.c�r r,c1Yi, � 3� - � � s� <br />9� ;�-� s � <br />^ <br />�✓ <br />,.�r � � / ' .. <br />- _, <br />, <br />ta., �...... � .. -, . . <br />_ ., � <br />�� _ -i `f..s�, �, <br />_ � <br />, � <br />- - —�- — � '� 1- <br />•, � - - <br />Total number of servlces connected to the master meter ��=�%"L�--- _ <br />Present number of services in use �-?�s�-- <br />Account Number <br />Tao Number � <br />Size of Service r <br />Date Maile3 - 0 <br />