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TYP- BCD <br />NO. <br />SUB TYPE <br />REv. <br />SIZE UNITS <br />C 115T <br />EI <br />D <br />D <br />CITY OF EVERETT WATER DEPT. <br />APPLICATION FOR SERVICEAND/OR TURN ON - SHUT OFF ORDER <br />1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE ORDINANCES <br />AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING OR AS SAME MAYBE <br />HEREAFTER CHANGED. <br />DATE7 <br />C/"' � 0� <br />❑❑ APPLICATION TURWONSHUT-OFf OTHER <br />ADDITION oLof LOT <br />SERVICE ADDRESS � 7/ <br />CONSUMER <br />OWNER ❑ <br />TENANT ❑ <br />OWNER <br />ADDRESS <br />CONTRACTOR <br />ADORE <br />RECEIPT ❑FIXED A <br />MOUNT � PAID <br />NUMBER O DEPOSIT RECEIVED f �— DV <br />SIGNED: xZ� b rr d 7 <br />REMARKS: <br />SERVICE <br />ORDER NO. BY <br />7 <br />A. <br />— APPLICATION NO/ <br />/ 1) tl al <br />WORK COMPLETED <br />FOREMAN <br />