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� � <br />CITY OF EVERETT WATER DEPT. <br />TURN ON — SHUT �FF ORDER <br />rrr[ �eo xo. sw *�rc e[v yii� / / _ ^ �C <br />cusr ci. (�(iLL o�� G <br />,� ,G� /i io �;;/�'j� - ;� � oe�a ,s.� <br />� <br />Turn ❑ Olit ❑ Other APPf. Noy`n �'� <br />On <br />Service Address �� �r ' � "—" <br />Billing Address ��`? � <br />..___.._ _ � . � � Y �--tit>/ <br />Owner <br />Slgned <br />/D <br />RECORD OF TURN ON / SHUT OFF� ' <br />Inspocto Turn On Date qg_ <br />Shut Olf <br />� R�1no Metar No. _Reading <br />I �nst I Moter N��'�/ -/o6-Z/%�.Z Reading o-°'ti--�� <br />' �' ' o� <br />� - New Servlce � By <br />� installad ,�� � Lr�� ���f BY _ <br />BILLING DEPARTMEN <br />Date Entered � — `� � � �g�� <br />. Remarks: � <br />J ✓ <br />�' �- N° 9186 <br />