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. <br /> � � <br /> CITY OF EVERETT W�.TER DEPT. <br /> ' 7URN ON — SHUT OFF �RDER <br /> TT�[ II[V A /J <br /> TTI[ t<G N0. !V� SIIL <br /> NS/T� C1. s /�/ � oJ <br /> -r- , r/ / � �6�8 N `i �� �.9 <br /> l �;3I ��-�1., ��: �� � - <br /> Turn ,❑ OII� ❑ Olher ( APPI. No./���� <br /> � �n �.�� ��2��J <br /> Servico Addross <br /> 9llling Addrass �— <br /> f,onsumer - <br /> Owner � '� <br /> Signed X ' �� �� � . , <br /> Rema . "�' � `� <br /> � � �/_�a � g / <br /> RECORD OF TURN 0 / SHUT OFF <br /> Turn On <br /> Irspeclad Shut OIf Date 19— <br /> � Re o a Meter No. Reading <br /> � Ins' II Metor No. ���—�7�?�3-�� Roading �a� � <br /> �,On BY <br /> New Service / —G`� I( BY �� a -"� <br /> , Inslallod �'� � —«`-� <br /> BILLING DEPARTMENT <br /> . Date Entored ���'��T-18 �'� <br /> GEFCRIPTICN 6ervice Sarvlw Co stmc�llm .o�lletion � TOTAL ��� <br /> Ci:IfffO� Qh:IfQa � <br /> Eack Chor�a . <br /> Credit Adj. _ <br /> Other I <br /> Remarks: <br /> , <br /> N9 6695 <br /> iY1 �/.•c_ <br />