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19/8 4 � � � <br />CITY OF EVERETT WATER DEPT. <br />APPLICATION FOR SERVICEnNoioa TURN ON - SHU i OFF ORDER <br />I HER[L3Y APPLY FOR THE USE OF WATER IN ACCORDANCE W ITH 7��E JRDINANCES , <br />AND POLICIES OF THE WATER DEPARTMENT NON' E%ISTING OR ;� 3AME MAY�E <br />HEREAFTER CHANGE�. / <br />NO. �u❑ TxE Pcv. 5R[ UNITS �� ! `�% � <br />T'i PC �CO �usT U ��� �g _ <br />,,. OATC �— ^ <br />I~ // <br />� 01 L� _ .F� L / i� � ; %� <br />� APPLICATIOY� i URN.ON ❑ 5`�1:1-1)« � OLllCfi — <br />�� � .'l � / �1 <br />A�DITION ��I i'�(f (•. / y-r OLOCK LOT '. <br />, L'f r- � <br />SERVIC[ADORE55 � �-, `/ <br />OWNEF ❑ <br />CONSUME TENANT ❑ <br />I � OWYER � pppe¢qs ' . <br />� �- ✓ <br />CONTRAROS. AIlDH65 !� � � / �, <br />� h ..� � ' � � �I%ED M1WMT �% / b PApIY: �j i� . L.: � :...J <br />I RECFIPI� - <br />NUM�[R � ❑ DEPOSIT RECEIVED S <br />y /) � A <br />/ ! / ��� <br />SIGNEO: X <br />I <br />� �R[MARHS: , . <br />� SERVICE � I �� OY <br />, ORpER NO. Y <br />• ' <br />APPIICATION NO. <br />� 2 r� �i ;�j: <br />��� //Jj����� <br />�coa�con�r�r_7[o�-'7�-/ ��"- io�u���N--.— <br />