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CITY OF EVERETT WATER DEPT. <br />APPLICATION FOR SERVICEAND/OR TURN ON - SHUT OFF ORDER <br />I HLKEDY 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 />R1R���II ❑ <br />APPLICATION �TURN�ON SHUTAFF OTHER <br />w A <br />TYP BCD <br />OAT <br />NO. <br />5Up <br />TYPE <br />REv. <br />SIZE <br />UNITS <br />ADDITION<BLOCK L075� <br />SERVICE ADDR�ESSI-ld <br />I CONSUMER OWNER ❑ <br />OWNER TENANT ❑ <br />�,• � � A gEss ,y� 3 ' <br />. I <br />CTO <br />G / ADDRES <br />RECEIPT / 1/C. ❑ FI%ED AMOUNT / OD ,� � <br />NUMBER �EL�IVE� PBID/57/ �4Ae I <br />SIGNED: <br />SERVICE <br />ORDER NO. BY <br />' APPLICATION NO. <br />3`J�, <br />WORK COMPLETED <br />I <br />-. FOREMAN ^�--- <br />