Laserfiche WebLink
/9//g. " " <br />_.. ��- <br />, CITY �F �VERETT WA f ER DEf'T. <br />' APPLICATION FOR SERVICE�NoioRTURN ON - SHUT O� F ORDER � <br />I HERE�Y qppLY FOR THE USE OF WqTER IN ACCOR�ANCE WITH TH[ GRDINANCES <br />AND POLICIES OF THE W qTER DEPARTMENT NO\V E�CISTING OR AS SAA1E MAY�E <br />HER[AFTER CIIANGED. <br />iYPI pC� NO SUO C11��7 �'!-` SIZF IINITS �,�j�,v %/� <br />/� i�%�j�/ �� DATE �'r'" / I)�.� <br />�%� � �j((��j� / l�,¢� / 9//-e,L <br />}1 �A�'�LICATIOti���HN-ON❑SryUT-0f�OO1M[N �� <br />/1 \ I <br />. ADDITION_ e <br />SERVICE AODR[55 1 �� �1'-� <br />CONSUMER �_ <br />� OWNER � �-�/ <br />4DJRL55 <br />� fONiRACTOR <br />� ADUR65 <br />RECEIPT �r/ FIXED q�,�WNr <br />NUMfIER _3_�� U DEPO5IT/ RECEI\'[ y <br />SIGNED: X ��/: -� .�.�../� <br />o� <br />—�—L� o r <br />LOT /�_� <br />owNCR O <br />n T�ENANI IJ <br />� <br />� T <br />— .� �Vl'� < � <br />�voerc <es+r,i_rirn 1_/ ./ •l - C 7 <br />c <br />APPLICATION N � <br />�%96 1 <br />� <br />