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1 <br />e �^ W�+ <br />I� I6. Ii' � y , -T �• <br />1p 3 E ETT WATER DEPT. <br />APPLICATION FOR SERVICEAND/OR TURN ON - SHUT CFF ORDER <br />I HEREBY APPLY FOR "HE USE OF WATER IN ACCORDANCE WITH THE ORDINANCES <br />AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING OR AS SAME MAYBE <br />HEREAFTER CHANGED. <br />vnNO $UB TYPE REv. SRE i <br />Cu5 CI 19 <br />DA <br />IVI APPLICATIONi� Fj77 (TURN-ON❑SMUT-OFF❑OTHER <br />......�,..t 0 Z J tI'1—'S• w-P r_� �qCy� LOT - <br />nSERVICE ADDRESS- <br />- <br />� <br />/. CON(SIJMER <br />R <br />CONTRACEfd <br />i <br />RECEIPT �a <br />1 <br />FDIXEDtT <br />NUMBER <br />SIGNED : X A xw� <br />f <br />1 REMARKS: <br />SERVICE f f�'J�I BY <br />ORDER NO. <br />'.f WORK COMPLETED <br />JORESS <br />OORESS T <br />OS _ <br />\ PAID <br />BY <br />0 <br />