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CITY OF EVERETT Wt�Ti:R �EPT. <br />TURN ON - SHl'T OFF.URDER __ <br />—_— ina �n __—__—/"//f� �� 19� <br />nrc �co xo. su� srs[ <br />cun u. _ OuIB <br />--�— <br />� �;� a:$?� ! �Ja� .2 <br />rbf Turn .❑ Ofl� ❑ Othor APPI. No.' �3 � j <br />ICX On <br />��i� 7,-f �' �'lac <br />Sorvita Addrass � <br />Bllling <br />1� <br />Ownof (� (� - <br />Signod X--�1�—�=�'�—��j�'--+�����J <br />i l <br />Romnrks:— <br />RECOR� Uh I UHn urv /�nu� <br />urn On Deto 19'�/� <br />Inspoclod n Shut OII <br />� R�movo N.otsr No. —Roadinp <br />� Inslall Meler No. --- R=cding <br />__— (����1 <br />J �^ BY <br />Now sorvico c_� _ l� �-oil Ov �1��+ - <br />Ins1a!lod �— <br />� BILLING DEPARTMENT <br />Dato Entor^d �Z''^'�l �� 19 G� <br />Wato� -3owa� I Sowe� I Snnllailon I TOTAL <br />O[Sf,RIPTION Scrvicn Sarv�ca � Conalmclion <br />� <br />Romerks: <br />. V—p <br />� <br />N°_ 5281 ✓ <br />