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i <br /> - - / 93/v . . <br /> , <br /> _ _ � <br /> ! CITY OF EVERETT WATER DEPT. <br /> � <br /> � APPI_ICATION FOR SERVICEANo�oR TURN ON - SHUT OFF ORDER <br /> I HEREOY APPLY FOR THE USE OF WATEA IN ACCORDANCE 1VITH THE ORDINANCES <br /> AND POLICIES OF THE W ATER DEFARTMENT NOW EXISTING OR AS SAA1E MAYDE �I <br /> I HEREAFTER CHA4G�D. � <br /> � - <br /> rvr[ qf.v ✓` �� / // . <br /> j T1PE OCO NO. SUU �usi �i SIZCUNITS O ��b <br /> � O D / OATE �9 I, <br /> �� �dPPLICATN]'�iURN�ON❑SHUT�OIT❑OTHER �/ /� �/O �I <br /> I �AOOITION. - OLOCK,r ' LOT <br /> ��/(J �{/� R_ �G.t�-:.s-11-�-.cJ <br /> � SERVICE AD�RE55�`��"" <br /> I CONSUME / OWNER ❑ <br /> I �l�/ , �r�✓ � � �L�''__i/���/'NT� II <br /> OWNER — — <br /> nouecss � <br /> 'i CONTRA OR � — � <br /> Ap�F65 I <br /> RECEIPT �� FIXED GAtOUNT ,O.�� PA1 *-{/ � <br /> NUMpER OEEOSIT ECEIVE�S 0� <br /> i SIGNED: X u ���rv � r CI /y� • ` <br /> -/t�G� yL iG� LLC�C-F/ . <br /> I� REM�RKS: �, <br /> � � j <br /> II seavice ^ -� / d�' -- ; <br /> OROEF NO.�/� — BV <br /> � ' _ I <br /> �.�. <br /> I <br /> I i <br /> � <br /> �6� <br /> I /n/ <br /> _tl.-�-iy � ^' 1 . <br /> � `L �..c--- � �� <br /> I ! <br /> � APPLICATION NO. <br /> -- `39�� `/ <br /> I \YnRK COAIPLET[D �!^J�—�G SZ-.�� • <br /> FORLM1tAN <br /> 5 :�T F`�E`E�`f��9 �V',�.: <br /> r '� � �� y nn., <br /> Jq ��.� ���..x Y�f'� • <br />