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IIER DEPT. <br />APPLICATION FOR SERVICE AND/OR TURN ON - SHUTOFF ORDER <br />I TILNEBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH 1'HE ORDINANCES <br />AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING OR AS SAME MAYBE <br />I HEREAFTER CHANGED. <br />TYP BCD NO. SUB <br />OATS 19 (� <br />oAPPLXATION❑TURN-ON ❑SNUT.OEE OiNEI <br />ADDITION <br />BLOOCKCK L LOT <br />SERVICE ADDRESS <br />CONSUMER <br />OWNERC�oL7 <br />OWNER TENANT ❑ <br />TYPE <br />CONTRAC76R�A4•� Nf/. - 'u2pa/ -'IJ k <br />RECEIPT XED ADDRESS <br />NUMBER AAIO1NT Q� ' <br />D T RECEIVED f By <br />SIGNED : X � <br />REMARKS: __ i <br />SERVICE <br />ORDER NO <br />WORK COMPLETED 5 - 2 7 - � s <br />NO./ <br />i. 5 2/. <br />PAID <br />