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® 0 <br />CITY OF EVERETT WATER DEPT. <br />,z -33_6 -Z TURN ON - SHUT OFF ORDER <br />rrrc <br />eco NO. <br />5771 <br />sue Trrc xrr stxe � L <br />cost n. Date /\ it-�i/ IZ 19 �j <br />OnTurShut ❑ h t ❑ her Appi. No. O��"�L <br />Other <br />Service Address ����d ✓'-'`�-"•"'�' oV"a'/ <br />Billing Address — <br />Consumer -- <br />Owner <br />Signed X� <br />Remarks: <br />RECORD OF TURN ON / <br />Inspected ❑ Turn On <br />Shut Off <br />❑ Remove Meter No. <br />19 b/ <br />❑ Install Meter No. -�n'3`����Reading 69� <br />New Service On By <br />Installed Off By _ <br />BILLING DEPARTMENJ� <br />Date Entered <br />DESCRIPTION <br />water <br />Sarviau <br />sever <br />Service <br />So.ory <br />Construction <br />Sanitation <br />TOTAL <br />Current Charge <br />c o <br />uo <br />Back Cargo <br />Credit Adj. <br />Other <br />N° 6176� <br />