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� <br /> CiTY OF EV�RETT WATER DEPT. � � <br /> �-33-sys TURN ON -- SH�_'� OFF ORDER , <br /> Tirt �co xo. sv trr[ �[r siyt �.,..�L�C_��_19 �/� <br /> ��`r `�. — Dale�% <br /> ,.Ti - � � ; <br /> ❑ On Shut ' Appl. Nc. ��GO <br /> � ��� � Other / y� <br /> � Q � A,._9-a� �¢�J".�.(Y� • <br /> Service Address -L� <br /> BIIIing Address��• . <br /> Consumer �J � <br /> Owner �'e'!r �/Ze"�--A�� <br /> SlBned X <br /> 6��,� -�,-,-�Z�,�'"^� <br /> Remarks: <br /> By ��`_� <br /> RECORD OF TURN ON / SH Ohh <br /> � Tum On Dete / 79� <br /> Inspocted � Shut Olt <br /> � Remove Meter No. Reading � <br /> 1�^ -�+ Readlnp-Q-✓� <br /> � Instell Meler No.Jv <br /> �,On BY <br /> Now Service � Olf 6y <br /> Inslallyd <br /> - BILLING DEPARTMENT <br /> Dato EntereJ— �9�— <br /> yyamr Sewer ewar Sxnualion iOTAI <br /> OESCRIPTION 5¢rvicn Service Conetrv�.11m r <br /> �Oa v � <br /> Current Charge �— <br /> Oack Chargo � �j�� <br /> r�e <br /> Credit Ad�. .�__ <br /> Othcr <br /> Remarks: — <br /> N° 8161�, <br /> i'/ � <br />