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r . � :�ro� __. � <br />' CITY OF EVERETT WaTER DEP f. � <br />� <br />� APPLICATION FOR SERVICEANoioR TURN ON - SHUT OFF ORDER <br />i <br />I I HER[�Y qppLY FOR THE USE OF WATER IN A��pRDANCE W ITH THE ORDINANCES <br />�. AND POLIQES OF THE \VATEH DEPARTMENT NOW E;USTING OR AS SAME MAVO[ <br />� HEREAFTER CHANGE❑ <br />itvaE nco Ho. suo cusr �"•� sizEurvirs� �/ <br />o ib � — o�.� ,y�.5 <br />('% �7 /`" � / /D <br />i �\/�ACI'LIC4ilON 11RN.ON❑cl�uiOff❑ptl�flt <br />;�� � <br />� ADOITION . -- ' ✓�1'��L�� �� / <br />OIOCK � LOT �`"• <br />SERVICE ADDRE55 _� � � � G u�i � <br />I CONSUMER /�� �/ OW��N[E��R ❑ <br />� ...:•�Eq__W. C� � Gn/'� ��V7 �Z:7�"T❑ <br />••• css ` <br />CqJTRAROR <br />� /� O�� aooN[ss � <br />NUMOER Ja �° nmaurvr ../ !� � rn� %f / I <br />j yDEPOSR��]`/� CcIYEp ; . / <br />I SIGNED : X �� �. ��/ I��, / l.a.._ Gi //�l-L�� • � <br />� R AHHS : � ' �> " _� �"'-�-` . � Q�K ���.cC.�p/� <br />� <br />I 'lOv a � <br />� SER�i�E �OQ 9 _ � <br />I OROERNp. p� � �j� � <br />!c� Ju�.._• <br />� <br />I • ' ' <br />I ./ �1 � . -/�n _�— <br />I <br />I <br />I <br />; — <br />WOFKCOMPLETCD <br />� <br />e <br />�s c <br />— ACPLICATION NO. �, <br />1 i �I �) � <br />ICI:L�:.1Y -�-�—"--- <br />9 <br />� <br />