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16518 88TH AVE SE LINE 5 ROOSEVELT WD 2018-01-02 MF Import
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16518 88TH AVE SE LINE 5 ROOSEVELT WD 2018-01-02 MF Import
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Last modified
1/5/2022 10:14:20 AM
Creation date
4/19/2017 1:30:09 AM
Metadata
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Template:
Address Document
Street Name
88TH AVE SE
Street Number
16518
Tenant Name
LINE 5 ROOSEVELT WD
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By City Ordirance any motor "sunnl ing more then one nremises or user" f <br />shrill be treated as a Water Distri t and corc:•ly with Water District I <br />regulations. i <br />t <br />Water Districts are. required to fit.l In and .return this form to the City <br />of Everett, Utilities Denartment, rverett, Wpshin:-;ton 98201. It may be <br />mailed or brought in, with your nnyment or senarately. If you have any <br />�✓ questions, nlease call 1.:rs. Sapp at 259-8785• <br />Please return the comnlnted form within 20 days of receint to: <br />f <br />Firs. Sapp - Utility Billing <br />City of Everett <br />Everett, Washington 98201 <br />WATER DISTRICT REPORT <br />Name of Water District (if any)Xr�lf.•-re-1— <br />Treasurer of Payer: 95ZMe <br />City,, State,, Code <br />Tel eohone Number <br />'Persons to notify in case of emergency - Dame, Address, Telenhone Number: <br />i <br />Total number of services connected to the master motor������� ,1�1' <br />ni F rc�r� <br />Present number of services in use <br />Account Number <br />Tan Number ' <br />Size of Service <br />Date Mailed = <br />V <br />
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