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Ci T Y--OF-- EvFRrT-T WATER DEPT. <br />APPLICATION FOR SERVICE AND/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. <br />TYP <br />BCD <br />I <br />NO. <br />I SUB IJ <br />CO T. <br />ECV <br />SIZE <br />UNITS <br />D, <br />I <br />IAPPLICATION <br />F� <br />N ITURN-ON <br />❑SHUT-OFF <br />❑OTHER <br />AD IIDITION <br />C7. ham'. rl <br />SERVICE ADDRESS <br />A <br />�� <br />— _7") <br />A ' <br />L <br />I <br />SIGNED: X <br />SERVICE <br />ORDER NO. <br />/ 3 94 <br />/9aao <br />( '-WJ,— f,, jc> . o <br />_ �CADDRESS �9 W3 /C IDRESS N /'r, _ <br />AMOUPAID <br />RECEIVE S BY <br />I ' <br />BY <br />LOT <br />07 <br />Fo ,- D c t a i/ of Ne t e r <br />Ste/. /9227 <br />CATION NO. <br />998 <br />WORK COMPLETED _ FOREMAN <br />