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/�3�3 <br /> CITY OF EVERETT WATER DEPT. <br /> APPLICATION FOR SERVICEAr+o�oR TURN ON - SHUT OFF ORDER <br /> I HERE�Y APPLY FOR THE USL OF WAT[R IN ACCORDANCE K'ITH THE ORDINANCES <br /> ANO POLICIES OF THE W qTEft DEPARTMENT NOW EXISTING OR AS SAME MAYOE <br /> HEREAFTER CHANGED. <br /> TYPF. pC� NO. Sllp T��7 �-° SRE UNITS //\/ <> -/ <br /> � / �J �ATE ^-' �C' /J _ , /��^ <br /> 0'1 <br /> (� fJpf;/'�i23<�= <br /> ❑AP�LICqT10':I TIIRN�ON❑ SI�tIT-0fl'❑pTHER <br /> AODITION ������-�� `�`�"�Q-GPb/ �� <br /> /fQ LO[ LOT <br /> SCRVIC[ADORE55 � � Ofr/OS^��Q�J <br /> V <br /> CONSUMER OWNEF ❑ <br /> iWNER <br /> TENANi ❑ <br /> �� � /J IX)NESS/J � <br /> CONTRqCTpR N�[�C'_tiv[ GCJ <br /> V�/� auon�ss <br /> RECEIPT FIXED q�,�p�NT S, � <br /> NUI•IpER � ^ro����� PAI <br /> -h O <br /> SIGNED : X Ol./ <br /> REMFRKS: ����'�u-T r ,b�-��ei � �� �S <br /> SCIL�iCE � � � <br /> oFG[le NO.__. �Y <br /> __ __ . _ � - . . <br /> I <br /> � <br /> II <br /> IAPPLICATION NO. <br /> I -- - -4:1 '� (i � <br /> � 1VORKfOMPL[TLO _ <br /> . ,.r �.,.�iYl <br />