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/ ��� -y��:, � � <br /> CITY �F E1r'ERETT WATER DEPT. <br /> I APPLCATION FOR SERVICEANoioaTURN ON - SHUT OFF ORDER � <br /> I HEREB\' APPLY FOR THt USE OF WATER IN ACCORDANCG WITH THE ORDINANCES ��, <br /> �� ph0 POLICIES OF THE W ATER DEPARTMENT HO\Y EXISTING OR AS SAME MAYDE <br /> ' HEREAFTER CHANGED. / <br /> ' TVPE ❑CD NO. c�❑ NST '�[i� iIZC UNITS / / _ //� 19 C7�-' . <br /> I / / � / OPTE �/ <br /> 4I�-J�-+ <br /> ' "� `� > i l; � , � %,;; /'�t <br /> , - <br /> �APVLI�`TION�`URN�ON❑SNhJF��OTHER � � I <br /> �� �c-� =' � �:t� L '�/J� � OLOCK LOT '�� i � <br /> �I ADDRION / � . '� <br /> � � ' . h/ _/Ii_� <br /> ' SERVICE AODRE55 ��� � ��n �=�t � i:�r!' � � <br /> � OWNEft <br /> � C�NSUMER TENANT❑ <br /> � � �� <br /> ACDflES� '/ � . !/ � <br /> ,, OWN[R __ �� . / f ��_� / �:� �"t T y '.. r :.,�_ I <br /> CIXJTRACiOF i�� C.�-�C. ��'!,' ! "' : ' �_L i�__,�y,�.op , <br /> / nocncss � a <br /> RECEIPT ��✓ � � ❑�EO p,HqiNT ��� � PA�ID � <br /> � NUA10Eh _ /f� [�J�D�T PECEIVEO f —/ T-- <br /> I �— ! <br /> �=!t� �j.G•Z�J'fj'..C/G <br /> SIGNCD : X �� � <br /> 1 <br /> � REMARKS: �� `���� <br /> � �� � <br /> i- I . / . <br /> i \ <br /> i SERVICE �I`�a� BY ``-. \'^ ____ <br /> pRp[R NO. <br /> I � <br /> I <br /> I <br /> I I <br /> I <br /> n �u � � II <br /> I ��c�-� .w Q_ ,L II <br /> � <br /> � 7� �..-r� - �i <br /> I APPLICATION NO. � <br /> �I _ 1 j �7 1,9 1.. !I <br /> II �\'OFKCOMPLETEO �� �.Z-J-�---�"'"'^'�" FpH��p�qN -- I, <br /> !'T' <br />