Laserfiche WebLink
CITY OF EVERETT WATER DEPT. <br />APPLICATION FOR SERVICEANO/OR TURN ON -SHUT OFF ORDER <br />TH <br />IAND PO ES OF OTHE WATER DEPARTMENTANOWREX STIINGI OR ASESAMEINANMAYBE <br />WrREAFTER CHANGED. <br />TYP BCD <br />NO, <br />SUB <br />TYPP <br />CUsf <br />Rhv. <br />Cl <br />SIZE <br />UNITS <br />� <br />gPPLICATI0� <br />'{DOAT <br />TURN ON SHUTOFF OTIIL`�M <br />BLOCK _ <br />ADDITION� <br />— <br />0 <br />SERVICE ADDRESS <br />CONSUMER <br />OWNER <br />ADDRESS <br />RECEIPT ❑ FIXED AMOUNT <br />NUMBER ❑ DEPOSIT RECEIVED $ <br />SIGNED: X <br />J [/ <br />�iEMARKS: T <br />SERVICE <br />RT ORDER NO. <br />I / <br />LOT <br />OWNER ❑ <br />TENANT O <br />PAID <br />BY <br />�J APPLICATION NO. <br />IO <br />/ V2 <br />CJju C /c G <br />WORKCOMPLETED FOREMAN <br />Y <br />