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� �_ __� <br /> C.!TY C)F EVERETT WATE� DEPT. <br /> ___ __ TURN ON — SHUT OFF OpDER <br /> rrr: eco no. suolne[ �[v s�i�I �� .��1� <br /> cusr n. � <br /> � ;G p� � � ;�,/ � Dale <br /> ,.�_� <br /> 7Um / <br /> Gn ❑ OIIf ❑ Olho� _ � APPI. No.00a �C'�y <br /> Service Atldrass ._ ���—fiT <br /> BII!ing qddress-- . <br /> Consumor p� - . . <br /> Owner `i�� U_. ..-°�'�.-9�� �. ' <br /> =/��� i f� <br /> � ✓ �<�t'_7"'��'`. �. x i <br /> Sf�ned X—;.c,..�_ � �7 '�^-�_ . <br /> � "LLi�":' 9 � a .s/� . r= <br /> Ramerrta.�__= �- � � <br /> '-�2' <br /> .�11 b �.("8 � <br /> �----- e , <br /> -- —�— <br /> RECORD 0� TURN ON/ SFiUT OFF <br /> Inspected ❑ Tym-On � <br /> ry7� Sh�Off Dale-- 19— <br /> � Rem94� 6lptar No. --qeadinp . <br /> � / `J77 � - G S'o � <br /> � �Insial_ I �feter No. � ?_ <br /> l� —Rcading.flfln ,� <br /> New Servfce ❑ �� Oy_._ _ <br /> Inslalled _L�.G$� ��ff BY=Y'��.- _�___—_ <br /> BILLING DEPARTMENT <br /> Data F.nlered ��_ 19 �� � <br /> [lESCfiIPiION �Y010� Sowor eower <br /> Servica Snrvice ConsvucGon SenllnGnn TOTP,I, <br /> Currer,t Charge <br /> Back Charge — — <br /> Credit AdJ. - - <br /> Other I --'- --- . <br /> Remarks:_ <br /> N° 8451 <br /> ;? L �� � <br /> . <br />