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,� � r <br /> CITY OF EVERETT WATER DEPT. <br /> TURN ON — SHUT OFF ORDER � <br /> tnc ae Mo. ��� TYf° �°� s'T� <br /> cusT a. D01e —� / �9.� <br /> - T �0;13 <br /> i� a � j �c0: <br /> ' 6� v <br /> I� Turn � Sp�'t � Othor Appl. No. �y <br /> 1C� On <br /> Sorvita Address �/�vC �� • <br /> Dlllinp Address , <br /> Cons}�r � . " ��"�� <br /> / ' � -LeTiw�P/ wi <br /> Owher <br /> Sipned % —-l�v�s�(�1—a�G _�� — <br /> i � <br /> Remsr � <br /> py'J B � <br /> RECORD OF TUHN N/ SHUT OFF <br /> Turn On Date 19— <br /> Inspected � hut Olt <br /> � Ro pve otor No. Readlnp <br /> �—Ins�{ll Met¢rNo. 3� � �� Lu��f Raadlnp.�0-SF�� <br /> `I � � On BY ��� <br /> New Servico �� _l ^ G 7 � �Olf By ,i�.i., era <br /> Inslalled <br /> BILLING DFPARTMENT <br /> Dale Entered �Z/'� � �9 G� <br /> o�er &ewc� Sowat Sanitnlion TOTAL <br /> GESCBIPTION Sarvlco Senico Gonnmcllon <br /> Curmnl Charge — <br /> �ack Charge , <br /> . Crodit Ad�. <br /> Olhot <br /> Remarka: <br /> N9 631'3 <br /> ,� �` <br />