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,\ <br /> l. <br /> � <br /> . ;, <br /> � � . <br /> CITY OF EVERETT WATER DEPT. <br /> TURN ON — SHU'r'' OP�ORDER <br /> nr� �cv Date � — � 19�/ <br /> rna �co xo. � su• cusr a. °11° <br /> I I I 1�9I aI�9 �7I�Iv:ll3 <br /> � On ❑ Ofl, ❑ Other APPI. No.�Q z <br /> Sorvice Address ���''/ , ~�'�'�� �� <br /> Bllling Address��� , — <br /> Consumer . <br /> � Owner- "�� �,�� <br /> /%�i� o1.f� /a'U�sr�/ �3�'�..✓ <br /> Slgned X�/ ���`'yYZ�� <br /> Romarks: <br /> 0 <br /> ,SQ %03 H ':�-,.�.a <br /> v <br /> � RECORD OF TURN ON/ SHUT OFF <br /> � Tum On Oale � � �9— � <br /> Inspecled � Shut Ofl <br /> " T �fiemove Meter No. . � Readlnp— <br /> / srf lall Mele� No.,���> •- /��'3—��y�' Reading o o � <br /> � On gy <br /> New Sorvice 7� ,_-/-pit 8Y �-_----_ - <br /> Inslaliad �.,---% lJ — <br /> BILLING DEPARTMENT <br /> Dato Enterad `�� �� 19—L <br /> DESGflIPT10N We�ar Sewar ewer Senllation TOTAL <br /> Servi[a Scrvico Canslructlon <br /> Current Charge � _ / <br /> Back Charge <br /> Credit AdJ. _ <br /> Other <br /> Remerks: <br /> �.� L . <br /> h�o 857t <br /> « <br />