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CITY OF EVERETT WATER DEPT. <br />ON — SHUT <br />sun ttr[ na srs[ <br />nr[ [co no. cost aT <br />ly7( Turn Shut Other <br />J� On Turn <br />_moo �i <br />Service Address <br />Billing <br />Owner <br />Signed X----�_ y <br />Cp <br />3" AJi9� <br />Appl. No. <br />RECORD OF TURN ¢N / SHUT OFF L/ <br />Tern On Data 19-- <br />Inspocied but Off , <br />_Reading <br />Rr.m v Melor No.— <br />El Inst I Meter No. `y- -ff e, 5 Reading <br />/On E1 <br />Now Service �_ O Off By <br />Installed - 1!/— <br />BILLING DEPARTMENIi <br />Remarks: <br />19 <br />N2 6375 <br />v <br />