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City of Everelt—Water Dept. <br />TURN ON ORDER � !1j �� llb'74 <br />TAP Nn..�Y��r ' <br />..�.._ 11CTF.R ACCT. No.� ��.'r_.�._..... <br />___....... i��s:<.'" G• __...i�6 r�. <br />Subjer( tn your regular rules and regulations, plcasc turn cn the �vater <br />ut ................/�: f �Jt:c<<.r.(C, IJ�{.,.-� <br />..... ...... .. . ...... Strent <br />� ... . .. ........... . . . ..� .. _ <br />Last tennnt was.. ...... . ... Oa•nir or Agent �s..,l.fr �� � <br />_.. _ <br />.�.. ._._........ �_�..:..� <br />Watcr ra!es u�ill be aid b �� '�` ^ � <br />p Y._...___.........._....._i t'.....__. .. <br />S i gned ... ...... ....... <br />Work Requested.........-...:-.,.:�„-.e; R�/ "�'-s -; i.��-i�_ <br />. . . . ......... ..... _... _. _ .............................. <br />... .............................. .............................................. . _..........._....... . _. _..........-- <br />.........._ . ....... ._._........... .__....._ _. ._......_....... ._....._.._..__...... <br />Abot�c application is approved <br />..._._ ................�_t�..�x..:................_.............__._.....Cnshicr <br />INSPECTOR'S RECORD <br />Inspect�d and turncd an..�:.....�.��..:'.........� ....:............198.1�.... <br />Classof Ouilding......._ .............................._........__.........._............. <br />. _ .......... ... . .... _............. _ .... _... <br />Clnssification of Account ............................... <br />_ _ ......................................... ...... ... _... _............ _ .... . <br />Owncr............__..........._...._.......... _ _.........._ _...Address <br />..... ....... ... .................................... _ .. <br />Tennnt................_........................_ . ... .....................Address...................... <br />.................................. <br />Charge fo� water begirt� an ....................................._................196......... <br />Remarks.. . __.. <br />.._... . .. _ .... ... . ....... <br />. .._........... . <br />f , . <br />.. ... .. /'..... r + ,7�- ii . . .. <br />.......................... _........ _......................... _.. ... <br />...._ _ .............................................._......._..................._. <br />.............................................................. ! <br />........................................................:....InS ecloC <br />Meter Installed..L .::........::.t:......1�J6:_... Rendin � . .- � , -� . <br />� E....�..........._:.... Our Nn.._:.....':.....:......_...._.. <br />Size...........�.� :....................... Makc--.......:...._...................... Fnctory No..::...':._:.��......... <br />. �_ �.._.... <br />......................................................................................... ........... ..... _........ For r m a n <br />ACCOUNTING / // G� <br />DF.PARTnfENT Rate ...........................Entered_............-.......................................1U8__.. <br />Hlock.........................._... Lot.................._.................._...... Tap,/�Ia....... <br />.... ................................ .. <br />��.'.i^5 .. ...�'. � .................................................................. ..�...J...�/:�:.t�_!'c'?.�.....'..Cashier <br />�� �� t� /'J"�S � . <br />