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-=a�^.,� .. .. _.., . i <br />-/�'99� . � � <br />CiTY OF EVERETT WATER DEPT. I <br />APPLICATION FOR SERVICEANoioRTURN ON - SHUT OFF ORDER <br />ANDR POLIC ESLOF OTHE W/1TERODEPARTMENTANOWRDX STINGI OR ASESAME MAYBE <br />HEREAFTEA CHANGED. '� /� / � <br />TYPC REV. SRE UNITS {� � i / � <br />TYPE OC� ,_� O SU6 cusr. u DATE �./ ., 19— <br />_' / '' � , � y �� O <br />�=�` � ��� /;_ � <br />;: . <br />APPLICAT�ON❑TURN�ON❑SMIILOGF�OTMER ' <br />1 <br />`� LOT "r <br />�, n� // 7 Q. � / BLOCK <br />AO�ITION /�"P'� � �� i � � <br />l � � � / / <br />SERVICE AODRE55 OWNER ❑ <br />TENANT ❑ <br />CONSUMER — <br />OWNER POOFE55�y, � ' ^� ' i 1.�.�j..A <br />�Y � �1.:/• ,•.%.L^� � .�'.i n <br />1 � �, <br />/'� ;I <br />WNTRACrOR � nooaEss �) O � ^ <br />.��� FIX D/ AMWNT� ��Itl�O PBID •2!' ./ _ <br />FECEIPTt� ; I� pE OSIT RECEIVgD PY--�=—� <br />NUM�ER —ti / 4 � <br />/ ,� / � /� <br />SIGNED: � 11-I j• �' ��( S�vi� P -- <br />�i�^ !� i i i' i o <br />REMFftKS: ��'� , � / <br />SERVICE <br />ORdER NO. <br />-.--- <br />�- - <br />WORKCOMPLLTED � <br />APPLICATION NO. I�� <br />103 '� <br />