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a: .J <br /> . _� r ' �, . . _��, • <br /> / /Tj/ VERETT WAT�R DEFT. <br /> A�'L�i IV��VICE�ho;ore TIIRN 0 <br /> _ N - SHUT OFF ORDER <br /> , 1 HERE�V APPLv FpR THE USE OF WATER IN ACCORDANCE WITH THE ORDINANCES <br /> ' AND POIJCICS OF THE W qTER DEPARTMENT NOW E%ISTING pR AS SAME MAVBE � <br /> . HEREAFTER CHANG�D. <br /> I . <br /> . TVPC DCD NO. SU� ���� ��` SR[ UNITS �`*�f� /� �� ' <br /> , .— �C. <br /> n � C/ pATE �q_ <br /> � . <br /> r� 6� <br /> �:�:,. ' � . / <br /> �Af'f'LIG/.TIpN ?�IFN.ON❑SHUT-O��❑OTHER ' <br /> U <br /> A�p�TION BLOCK LOT _ <br /> SErtVICEADD�iE55 L�2�-fJ ��l_A��,�.�_��.,� -- <br /> � �� <br /> CONSUMER� ���-4`�-� - � � /(' P i�f�C(�1� OWNEH ❑ � <br /> t� T— � TENANT❑ � ' <br /> OWNER <br /> � 4WHE55 � � <br /> CONTRACTOR I <br /> RECEIPT ❑ �IXED Aoon[ss <br /> NUMOER �WNT PAIO � <br /> ❑ DEPOSIT qECEIVEO S ��_ BV <br /> / <br /> sicNco: X i.�<-Lt .-G � ��� �r�b�-� . CL�>A_.l ;�.r �J � x <br /> � � <br /> �; . <br /> �� /� <br /> i FEMH�IC�: �/ � � � .L,. � . [.�—�L��--9 ( 7�I �[_7L� /1/�iL+� 1� <br /> �"rt_I � ' l .t' t.c.C� . , `-U� . (.�,?•.��.<y� d.C� � <br /> , SERVICE ,- �. r .�� /: . � - '..'� l/'7 if/�.. �� ' <br /> i � <br /> ORDER NO.__� BY_ <br /> — • " _ i <br /> � <br /> i �ry/ _ ��:+��� ��Yf��� <br /> _ , <br /> � I; - <br /> � <br /> , I, <br /> APPLICAiION NO. � <br /> �� �7-� � ! � <br /> \1'ORNCOMPLCTCp _ � /� I'J / ��^ � .. '. . � / I <br /> —� –�_���_:_!/__�-:�LL�c'�.� <br /> ' '.pGL�dqN <br />