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CITY OF EVERETT VdATER DEPT. <br />�ICE AND/OR TURN ON - SHUT OFF OOROINRDE <br />APPLICATION FOR SERVIR <br />IWTH <br />AHEREBY APPLY ND POLICIES OF OTHE FWATERUSEODEPARTMWATERNTIN ANOW EEXSTINGI OR ASESAME MAYBE <br />HEREAFTEP CHANGED. <br />T\P[ NE\ SIZE UNITS 1'_ <br />r3jj�6 <br />BCD NO. SUB UST CI DATE QCtDUC: Ll• 19 b <br />241 1 2 2 Appl. $ 1,9301 <br />�gPpLICATI'1N®TURN-ON❑SINTOR❑Oi11CH ADDITION -- <br />BLOCK _ LOT II <br />SERVICE ADDRESS 4822 3rd tit. <br />OWNER ❑ <br />CONSUMER .-- TENANT <br />Edson Lard <br />OWNER -- gDOR[ss <br />CONTRACTOR-----��j pOoa[55 yyyy�� <br />r �� FIXED AMOUNT �o O(� PAIIDDC1llal]an �Rg• <br />RECEIPT `pEpOSIT RECEIVED 1 BY <br />NUMBER -- <br />mot/ <br />SIGNED: X <br />REMARKS: TustLy B SermiC� <br />SERVICE By <br />ORDER NO. <br />I <br />WORK COMPLETED <br />