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. <br /> -:.�= /89 79� -�-= ; <br /> CITY OF EVE�RETT �IATE�, DEPT. <br /> APPLICATION FOR SERVICEArv�;oRTURN ON - SHUT OFF ORDER <br /> � 1 HEREBY APPLY FOR THE USE OF WATER IN ACCOROANCE W ITH TME ORDINANCES <br /> AND PCLIQES OF THE W ATER DL"PAR7AIENT NOK' EXISTING OP AS SAME MAYBE <br /> HEREAFTER CHANGED. ' ( <br /> TYPC pCD' A SUO cusr �u SIZE UNITS � <br /> , 3 �s� ou�-. o�TE �_ ,�h� � � <br /> ;,. �.� ,�.ri� % � <br /> �, �9arc�tnrtoH� , yruerv.o�v❑seit.orr❑on�ca ' I <br /> L'7 LJ <br /> ADDITION '(11�n [�• !L�-S.Q..2- �LOCK � LOT � � I � <br /> i' L/ (nJ <br /> �' SERVICE ADDRE55�_ �� ���/�-+ " �'+'�r� ' '�"' I <br /> � CONSUMER __�/3, �� OWNEF � <br /> �, . ��� TENqNT❑ � i <br /> OWNER �( �1�+'�" <br /> / rIUOFC�/'_g <br /> CONTRACTOR"l.� r L , �:�. ^� �l {!y ' � �� __ '. <br /> 7•��••-� AD Ss � <br /> RECEIPT -� F G'/ ��aED µ10UNT � PAID__. L �� � <br /> NUM6ER �`��/ 1'� [POS�t('RECEI/ j � DV_1_ZL�T.::G:c(:4 �I <br /> I i <br /> , SIGNED: X � ,r ���/ �� �l �Y' I <br /> �A <br /> ' REMARKS: :'o• . � �� __ �/'�,���• 4G G I <br /> SENVICE �•� I <br /> � ORDER NO. S �7�� BY � �/� '',"���,L� I <br /> j <br /> • • ' I <br /> � <br /> I <br /> I I <br /> I <br /> � I <br /> �I ___ <br /> I / -< II <br /> i <br /> j .'i�� i <br /> �� , � , I <br /> � <br /> , ; <br /> � � APPLICpTION NO. � <br /> I — <br /> ; __ j 9 I ' <br /> , , <br /> , ,_ � ,_ , ;_ , , <br /> ' K'ORK COMPL�TED' 1 ---- <br /> ' rore[-nn�H . <br /> 'K'L _r <br />