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� � � <br /> CITY OF EVERETT WATER DEPT. <br /> �;=��_6 f/S TURN ON — SHUT OFF ORDER <br /> ,r�. .�o s�. i ..�� .c. .�.. /^� /p �,/ / D <br /> {� cun ci. �� 79(OCl <br /> �_ J—--I—I Dala� <br /> �� a� � �I <br /> Qn� ❑ Ofl� , ❑ Othor —T_ Ap . No.�009� <br /> /.S�/ ��, �-� �� <br /> Sorvice Addres . � <br /> Billing Address • , <br /> Consumer <br /> I��>�-�. 'Z/-�Lc <br /> Owner%���� ^. � — <br /> Slgned��X--�f— <br /> �y a�T s <br /> Remar..�l <br /> _ By � � <br /> RECORD OF TURN ON/ H T OF <br /> Inspecled O Shut Olt Dule � 19� <br /> � Remore Meler No. Reeding <br /> � Install Meter No.�""1'����� Raading—�—� 1 <br /> ❑�� BY <br /> New Service � Off By — I <br /> Installed ` <br /> i <br /> BILLING DEPARTMENT <br /> Date ENcred �3 19 6—L � <br /> 1Vatot Sewef ewor Sanitellon TOTAL � <br /> O[$CRIFTI011 SCn'ICB $ervICO COnlVJ:IIOn <br /> 5�° 5�o i <br /> - Currenl Charga <br /> Ciack Charga `oe � 5e' <br /> Credit Ad�. �J <br /> Other <br /> Remarks: � � <br /> ---- N°_ 8181� <br /> ��9 <br />