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_' G .'� i J ' — �/� `/ � <br /> �J i . <br /> CITY OF EV�RETT WATER DEPT. <br /> TURN ON - SHUT OFF 0 �R <br /> tnc sco no. su• ��rO "°r sixc / <br /> __�_ _ cusr q. ( <br /> � 1 / p. �, � - •� � ��te "� 19� <br /> (� Turn Shul <br /> f-� On �� 011 � ❑ Other ___ APPI. No..��.� <br /> Sorvice Address �/�S✓_�`�`/--Vj"�. _�tP� � <br /> � a7 / � �� <br /> Blllinp Address <br /> Consumer— Ci.�� <br /> Owner—� `�-� '-ti�«t�/ <br /> / <br /> ' , Sipned X—�— �� _ _ <br /> Rema��� � i <br /> _ _ <br /> 1 <br /> � . �� <br /> . _ ey - <br /> RECORD OF TURN O /SHUT OFF <br /> Inspecte Tum On <br /> Shut Olf - Dele 19_ <br /> � Re o Meler No. Reading <br /> ns 11 Metar No. ° � -.�_l�_�G_$� Readinp-0�� � <br /> New Sorvlco d�� BY—�'c�"- — <br /> Installod `� ' 1-� •�- � _� OII �y <br /> BILLING DEPARTMENT <br /> � Dnlo Enterod— i��j� - 19 � � <br /> DESCPIPTION �elor Suwaf 'awet <br /> Sorvlce Service Canfvucllon 6onllelionT TpT�� — <br /> Currenl Chargo <br /> Dack Chorge <br /> / Crodit Ad�. <br /> Olhu� I <br /> � <br /> Romurke: <br /> ' N° � 6147 <br /> —�-�--- ---- -----------n�`--- <br />