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CITY OF EVERETT WATER DEPT. <br />APPLICATION FOR SERVICE AND/OR TURN ON - 3HUT OFF ORDER <br />I HEREBY APPLY, FOR THE USE OF WATER IN ACCORDANCE WITH THE ORDIN�AA�CS <br />O <br />AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING OR AS SAME <br />HEREAFTER CHANGED. <br />D�TsREvsc uNITs <br />"o1 <br />TP BCD NOSUUT DATE October <br />231242 aRF1, # 19302 <br />FxlAPPLICATION®TURN-ON <br />r,SHUT.OFF0OTHER 19 <br />GG <br />BLOCK LOT <br />ADDITION <br />SERVICE ADDRESS 4923 3rd St• <br />OWNER ❑ <br />CONSUMER TENANT ❑ <br />wi11ian It. Marcus <br />OWNER AODREss <br />CONTRACFO AOORESS PAID t,A1l Abatt r, p <br />FIXED AMOUNT '70.00 BY <br />RECEIPT -�� <br />NUMBER DEPOSIT RECEIVED f <br />SIGNED: X <br />REMARKS: <br />SERVICE By <br />ORDER NO. _ <br />AP LIGATION NO. <br />--- 1 L. 11 <br />WORK COMPLETED � FORE�IwN <br />