Laserfiche WebLink
/7.3� o <br />�.� -' - ^ \J� <br />CITY OF EVERET � NJATER D�PT. <br />APPLICATION FOR SERVICEANoioR TURN ON - SHUT OFF ORDER <br />I HEREBY APPLV FOR THE USE OF WATER IN ACCORDANCE WITH THE ORDINANCES I <br />AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING OR AS SAME b1AV�E �I <br />HEREAFTER CHANGED. '. <br />I <br />TVPE pCO NO. T13 ���[ H�°. SIZ[UNITS I <br />Cusr a <br />� �,(� (/� 1- Y� Ot.T[ �_�y _ 19� � I <br />_ � - (� � /// �� p � <br />❑ APPLiCTi'^N ❑ tU1PN.ON ❑ SIIUT.OIT�OiIIEN I <br />Z�iiiu. � :+.- �, i <br />� <br />noomoN _ o�ocK �or _ � �. <br />LdRVICE ADDRE55 _ �//7 //� �>`4' X� /� ___ �. <br />CONSUMER OWNEA ❑ I <br />TENPNT U <br />OWNER _ <br />AOOFESS I <br />CIXJTRACTOR_. <br />AO�FC:S I <br />RECEIPT �] FIXED /A10UNT PAIp I <br />Nl1MUER ❑ OEPOSIT R[CEIVED S OY __ <br />SIGNED : X <br />REMARKS: .J."i�^v ��.,�.�- . v - /Y - i/� s '-^--^ �.� � I <br />O �� <br />$ERVICE 7.f � - I <br />OROERN��� py_ � <br />- � <br />� � � � � <br />I <br />� <br />' � <br />ICATIOh NO. j <br />6�1 1'% I <br />�, �' � � <br />\YORK COMPLETEp � ��l <br />