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CITY OF EVERETT WATER DEPT. <br />APPLICATION FOR SERVICE•1ND/OR TURN ON - SHUT OFF ORDER <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE ORDINANCES <br />AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING OR AS SAME MAYBE <br />HEREAFTER CHANGED. ._.I <br />TYP <br />BCD <br />I NO. <br />I SUB <br />TYPE <br />cusp- <br />REV. <br />cl <br />SIZ <br />UNITS <br />�,(IA PPLICATION TURN -ON <br />/ • _ <br />ADDITION _ BLO LOT <br />SERVICE ADO <br />IOjN�q R ^ y J OWNER <br />F k4fV V <br />CONTRACTOR_ <br />/ ,X�+Z'7L(/' <br />RECEIPT <br />ADDRESS <br />XED AMOUNT PAI <br />NUMBER <br />EPOSR�RECIV,E�D/5 BY <br />X <br />SIGNED . <br />REMARKS <br />APPLICATION NO. <br />VM 6 <br />WORK COMPLETED _L O. - 14'/ <br />B <br />