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J <br /> � � � <br /> CITY OF EVERETT WATER DEPT. <br /> TURN ON — SHUT OFF. ORDER <br /> .,.. ... <br /> ttrt �cn �o. su� cmr c�i_. m[ � <br /> -- - --r- — DBIo 19� <br /> iv ? � �/• <br /> fb( Tcrn ,❑ ,OOt�❑' Olhm _ APPI. No. � `3�V <br /> .b1 On " � <br /> Servica Address�/6 v�- - <br /> BIIIing Address �-s���l`� � <br /> Consumcr T R i T�.. � S <br /> Owner — ; <br /> i <br /> Slgned - " � / � �D <br /> � Romnrk � � ��, � ' <br /> D 3� — a <br /> RECORD OF TURN N/ SHUT OFF <br /> Inspocled O Sh t Olf Date �� - � �9� <br /> � Remove Melor No. —Reedinp <br /> . � Instali Metci No. Roadin0 <br /> ❑ �^ 4Y-- — <br /> I�ow Snrvico G 7 II BY ._L.r•�: <br /> � Installod—� ' �J � <br /> BIL.LING DEPARTMENT /� <br /> Dato Enlorad - "�l 3�� 18 (� <br /> D[SCRIPIION �'elar Sewm �wcr Senlla:ion TOTAL <br /> Sorvlce Sanic+ Coneln.aion <br /> [K� J_J l%5 IL' �n <br /> � Currenl Charge �__cl � �% . <br /> ��ack_Cha�9] uo � 7i /,�%'— <br /> Credit Adr �.� ' — <br /> Othot � <br /> s-r1'.G 'l .Oj;, � <br /> Remarke: r=:: , ,- �� - <br /> N°_ ✓5233✓ <br /> �. <br />