Laserfiche WebLink
CITY OF EVERETT WATER DEPT. <br />� APPLICATION FOR SERVICEANDioR TURN ON -SHUT OFF ORDER <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE ORDINANCES <br />1 AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING OR AS SAME MAYBE <br />HEREAFTER CHANGED. <br />I <br />TYP DCD NO. SUB OUST RC i� SIZE UNITS <br />DA ✓ <br />_ vr/ <br />Iy� ��j <br />I ✓I APPLICATION I VI TURNAN❑ SHUT.OFFOOTHEP' <br />LULIr4AbDm6H BLOCK LQT/ <br />SERVICE ADDRESS O�� <br />% OO NE� <br />CONSUMER //� TENANT ❑ <br />NER oREss Y D <br />CONTRACTOR 98/O6 <br />X AOORE55 <br />•.'J GfIAMOUNT O AIDRECEIPT <br />NUMBER D IT RECEIVED f BY <br />SIGNED: X <br />REMARKS: <br />SERVICE / /Q �J (p BY <br />ORDER NO. <br />APPLICATION NO. , <br />3i9 <br />O <br />WORK COMPLETED FORE I <br />AN ._ <br />