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CITY OF EVERETT WATER DEPT. <br />APPLICATION FOR SERVICEAND/OR TURN ON - SHUT OFF ORDER <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE ORDINANCES <br />AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING OR AS SAME MAYBE <br />HEREAFTER CHANGED. <br />TYP <br />BCD <br />I NO. <br />I SUB <br />TYPE <br />cu <br />9 <br />I <br />o9 <br />I /TAPP41CATIONI T., RNAN <br />IA/DDITION ��!�� A <br />SERVICE ADDRESS <br />CONSUMER <br />OWNER <br />CONTRACTOR,5- <br />RECEIPT 3g3 <br />NUMBER [ <br />SIGNED: : <br />REMARKS: <br />SERVICE / <br />ORDER NO. <br />REV SIZE UNITS _. 4p r <br />/ 03- � onrE 19_ <br />SHUTOFF ❑ OTHER rry� -- <br />BLOCK J LOT OC 7-3 I <br />�21 t) OWNER ❑ <br />TENANT ❑ <br />BY <br />rry BIPAID 900 <br />3 <br />,tip ._- <br />APPLICATION NO. <br />1370 <br />Z C <br />WORK COMPLETED ��� � - FOREMAN <br />