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.�62 47 - _ -. <br />CITY OF EVER�TT WATER DEPT. <br />APPLICATION FOR SGRVICE�'�o;oR TURN ON - SHUT OFF ORfJER <br />I HEREOV APPLV FOR THE USE OF WATER IN ACCORDANCE WITH THE ORDINpNCES <br />AND POLICIES OF TNE \VATFR �EPARTMENT N014 EXISTING OR AS SAME MAY�E <br />HEREAFTER CHANGED. <br />rvP oco No. sun ���;�`, ''�i size ur�i.s �_� j; I�` <br />,p 03 � y 3 onrc <br />��jj�� �.�/ �� ���'�% <br />❑ APPLIUTION � ONN-0M1 ❑ SMiILC�� ❑ O1HEB <br />AODITION OLOCK LOT <br />� �/G�I / �F <br />SERNCEAOOFESS - /°`'�'' � .�� '-r•_ " <br />CONSUMER �� � � 2� /v �� � ��'NER ❑ <br />_- TENANr o <br />OWNER <br />qpp1tE55 <br />CONTRACTOR qpppC55 <br />fiECEIPT I� FI%EO ph�p�NT PAID <br />Nl1MpER ❑ DEPOSIT RECEIVED S 0� <br />SIGNEO : X • `^�T� � A ��` �'� <br />i _�- �t / "" »•.,.� <br />REMARKS: <br />SCFaCC ;;/q.�//__ _ oY %J�-.z_� <br />oFnn; r�o _ .. ._ _ -- _ — <br />' — _ ___- — �' ' <br />- --_ __-___- _ — .___ <br />. f1J t v <br />e <br />e <br />