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By City Ordinance any meter "su�nlying more than one bremisea or user" <br />shall be treated as a Water District and comDly with Water District <br />regulations. <br />Water Districts are required to Sill in Qnd return thia form to the City <br />of Everett. Utilitiea Devartment, Everett, Washingtun 98201. It may be <br />�... msiled or brought in. with your nayment cr senarately. If you have any <br />questions, please call Mrs. King at 259-8785• <br />please return the comvleted form within 20 daya of receiot to: <br />Mrs. King - Utility Billing <br />City of Everett <br />Everett. Washington 98201 <br />WATEii DISTRICT REPORT <br />Name of Water Dlstrlct (if any) <br />Treasurer of payer <br />- ,O d f'�' C�� i . <br />Address <br />T-� 4�� . <br />:lty, StaT te, Zln <br />tX (I � Y <br />Televhone Num <br />Persons to notify in case of�emergency - Name, Address, Teleohone Number: <br />�1�,�;; �L r�vC-.���.:.,...i <br />��� <br />/� F) d y^ �s< � c�� i_ o�% — <br />�r.e r/L"/ �..3y— �o:���% <br />/ <br />T�tal number �f servlces connected to the master meter ..� <br />Fresent number of servlces Sn use. � <br />Account N�.tmber /03 0� <br />Tao Number i3 ,'9/ _ <br />Size of Service ,�" <br />Date Mailed �ac,-'9 <br />.11,C�"'`" � 5 _ � y <br />�' <br />� <br />