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\ <br /> � � � - -_-- - <br /> CITY OF EVERETT WATER DEPT. <br /> TURN ON — SHUT OFF ORQER <br /> ,,.� ... �//��� � 7 19�-y <br /> tnc ao ea. w� sa[ `���/ '�� `, ' <br /> cusr a. Dele t <br /> � i���7h; �, ,- <br /> � Tum Shut � <br /> On ,� OII ❑ Othcr APPI. No. �I � <br /> Sarvlco Addross�✓� / � - ��� //s <br /> X�'��= ' - {� ���7'�`'�'°f'�, <br /> � Billinp Address � <br /> ,,y"'l,u�t' . <br /> Consumor � ''- ��j�l�� <br /> Owner'-�-- — -- — i <br /> r <br /> i <br /> Signed X - � � T-� <br /> Remarks: / " <br /> G��r£� �< - �� ., o/ - � �'- <br /> By <br /> RECORD OF TURN ON / SHUT OFF <br /> �rn On Dala�Ld�� 19'— <br /> Inspoclod � Shut 011 � � <br /> � Romovo Moter No. Roading <br /> -� 4 �`_�ZZ Readinp C'� �O D 2 <br /> � I�te,Vll�Moter No. ���z--� �-��J�' � <br /> gy � BY--,f/-'-'�".t``�t <br /> NAw Sorvlce � OII By <br /> - Inslellod <br /> BILLING DEPARTMENT <br /> ' Date Enlerad 19 <br /> Y/emt ower vwcr San!lotlon TOTAL <br /> DESCRIPTION Sa�vlw Sarvlco Constrvnion <br /> CurreN Charge <br /> Back Chargo � , <br /> Credit Ad�. <br /> Olhor <br /> Remarks: <br /> �' ' N° 5291 <br /> /�7'- <br />