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.- <br />.i <br />ENERE T WATER DEPT. <br />i <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 />tYPE <br />REv. <br />TYP I <br />BCD <br />NO. <br />SU6 <br />cusT. <br />a. <br />SIZE <br />UNITS <br />/y <br />/ <br />/ <br />If <br />I <br />APPLICATION ❑ TURN -ON ❑ SHUT-OFF ❑ OTHER <br />ADDITION _ <br />SERVICE ADC <br />CONSUMER <br />OWNER <br />CONTRACTOI <br />RECEIPT <br />NUMBER — <br />SIGNED J X <br />19g <br />TENANT L1 <br />o,' A X" <br />REMARKS: <br />SERVICE <br />ORDER NO. D BY <br />- <br />i <br />a'. <br />r(I <br />NO. <br />�. <br />NPPLICATION <br />; 0 023 <br />WORK COMPLETED <br />FOREMAN <br />