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f.�.�7/ - �� � <br /> - -- .�. <br /> CITY OF EVERETT W�1'TEi� DEPT. <br /> ! APPLICATION FOR SERVICEANoioR TURN UN - SHUT OFF ORDER <br /> i <br /> 'I I HERE�Y APPLY FOR THE USf OF WATER IN ACCORDANCE W ITH THE UR�INANCES <br /> , AND POLICIES OF THE W qTER OEPARTMENT NOW EXISTING OR AS SAME MAY�E � <br /> � HEREAFTER CHANGED. <br /> I TVPE OCD NO. SUp ��Si R��°' SRF UNITS ✓��Q _ . �/ //� <br /> DATE `CJ �� !G!O <br /> ��'- /✓�37/ <br /> il ^ �.�.+y...� <br /> I I IAPP4C4TION�IJR.-ON❑ 511UT-0Lf UOiHER � <br /> I I �"��Z•: (�N�� I <br /> l <br /> ADDITION_ BLOCK _�_�7 ,'� <br /> SERVICE A�ORE55 �/� �-''l L � l(�'..`, �.�" I <br /> I <br /> CONSUMER OWNER ❑ �i <br /> TENANT❑ ��, <br /> I �'NER i <br /> I RDIlNE55 � <br /> COfJTRACTOR <br /> I RECEIPT ❑ FI%E� ^ooncss O n i <br /> M1IX1NT L1'� ' PAIO <br /> Nl1MpER � ` ❑ DEPOSIT FECEIVEO S`^E;� OV <br /> iSIGNED: X " --/^� �t '� _ ' . <br /> I '7 GLE.{��L.CG(� �lL. C'` �'�LiGGCi L��`G� I <br /> R�RKS: �� <br /> Y � <br /> -r.• <br /> SERVICE ��� �� �� � <br /> I �OER NO._ pY <br /> �����- �� <br /> j X i�- .�.� �6 ' <br /> I � � J�LL-Y l� � ( C� .�.�i/ I <br /> �� <br /> .� �1r1/ ,QJ I <br /> �-7�,�Z� <br /> � <br /> APPLICATION NO. <br /> I _ 41 .� '; <br /> � 1VORK COMPLETED _ . I <br /> FOHLRLIN <br /> u„+..�L :A�l�➢rA�`:F . . ,. <br /> vy" i`ehW`tr.��MCk.�i k , _ . . - <br />