Laserfiche WebLink
CITY bF EVERETT WATER DEPT. <br />TURN ON — SHUT_ OFF ORDER <br />I Tom![ <br />fW <br />FO. <br />TY![ P[Y <br />+ SUP cYfT cl. <br />fll[ <br />On ❑ Off ��❑ Shut Other <br />Service Address <br />Billing nddros5-7-er---- <br />( <br />Owner — <br />Signed X <br />Datc <br />_DU/ <br />yu3 <br />oe <br />RECORD OF TURN ON / SHUT OFF <br />I] Turn On Date <br />/S <br />Inspected F] Shut Off <br />❑ Remove Meter No.--------- Reading <br />❑ Install Meter No. — Reading -- <br />E§`611 BY f <br />Now Service r � 9 `� Off By /' tml ✓ �� - __ <br />Installed <br />BILLING DEPARTMENT <br />Date Ent o <br />J' <br />star <br />DEECfl IPTION <br />GcrvicicP <br />sower <br />.�enico <br />ewer <br />ComlrucGon <br />s[nllPllan <br />T0T41 <br />�— <br />Current Charge <br />Il �tr✓— <br />CGr�1i-Add <br />Other <br />i y pRem.,1 tip <br />nr. <br />i9 N"_ 8113 <br />