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11622 SILVER LAKE RD 2016-01-01 MF Import
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11622 SILVER LAKE RD 2016-01-01 MF Import
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Last modified
3/9/2017 8:26:44 PM
Creation date
3/9/2017 8:25:36 PM
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Template:
Address Document
Street Name
SILVER LAKE RD
Street Number
11622
Imported From Microfiche
Yes
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� � <br /> CITY OF EVERETT WAT�R DEPT. �y <br /> 33 —dJ�S TURN ON — 5HUT OFF ORDER <br /> ,r.� .cn Ltj,�10 .u. i <ul �iy `TI O��t9�� <br /> Deto <br /> — — � i U7 6 <br /> f�'�/`Turn Shul �/O� <br /> U On ❑ 011 ❑ O`lher APPI. No. <br /> Servico Address l�Y'� / ✓�"_�������"� <br /> Blllir.g Address— —__ _ . <br /> Consumer-f./-. <br /> Owner-�l C � � <br /> Signad X— <br /> Romarks• � "�—�/"y�--�—�-� <br /> _ oY ��/��.�s.�.��. <br /> RECORD OF TURN ON / SHUT OFF <br /> Inspoctad ❑ Turn On Dato <br /> � Shut 0�f �9— <br /> � Removo tdeter No. —,fPead p�7�.�_ <br /> / O T <br /> � Install Motor No.��'+'��`'`I� ��di p�v�0 " <br /> New Service � un BY <br /> Insta:led � Of( 8y <br /> BILLING DEPARTMENT <br /> Date Entered �'1 y �y 6 y <br /> DESCFIPTION �}atet sGwer Sawor Snnifafon TOTAL <br /> � 6arv;re Sorvice Consimctlon <br /> Current Charge I�� <br /> Back Charge — � <br /> Credii Adj. <br /> Other <br /> fiemarks: <br /> N° 8191 <br /> �� � /�7 <br />
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