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I <br /> 1-7�6. Z . - - �. . <br /> CITY OF EVERETT WATER DEPT. <br /> APPLICATION FOR SERVICE�No�oR TURN ON - SHUT OFF ORDER <br /> : HERE�Y APPLY FOR l r'F u5E OF WATER IN ACCOI:DANCE V.'f�H THE ORDINANCES <br /> AND POLICIES OF THE W ATER DEPARTMENT NOW EXISTING OR �5 5/1ME MAY�E <br /> H[REAFTER CHANGED. — <br /> TYPF'J IICD NO- SU❑ ����� ���� SV.[UNITS <br /> cisr a DATC "L/� � 19-� <br /> , 3 r_ y� � o � �y z. ���,G 1-- <br /> � <br /> ❑pPPLICATIOY�TOHN�ON❑SHUT-0�� OiHEF ./JL�1t%4LL�+6� I <br /> � 4 I <br /> '� ADDITION OLOCK _ LOT '�, <br /> 5[FVICE ADDRC55 � " �U ?..t� '�� I <br /> OWNER ❑ <br /> � CONSUMER TENANT ❑ �, <br /> I <br /> I 01\'NER — qopq[ss li <br /> CQYTRn�iOR aO�a�55 I <br /> RECEIPT ❑ FIXED MtOUNT PAID . <br /> INUMOFF — I�DEPOSiT REC[IVED S — �� <br /> SIGNED ; X <br /> � � .� / � ,G %s� - <br /> � R[MARKS: - <br /> I ( <br /> .J L.! (l.<.O..�ti _ '___ <br /> i <br /> , SERVICE 3 i� � pY�.�—� . . <br /> , ORDER NO. ' <br /> ' . • _ _ <br /> I �- <br /> � <br /> I I <br /> i� (���_�a�-�.� � <br /> �i ���� — � , <br /> i �_�, � <br /> �- APPLICATION NO. I <br /> �� �. f� �� �� <br /> ^'� �_ .� � —G,G �-z�.-� _ <br /> 'dC6K�J?:f'LI�TCCI _[,.=L � - � F� �� <br />