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i <br /> 3�/O <br /> CITY OF EVERETT wATER DEPT. <br /> APPLICATIOh� FOR SERVICE�No,aRTURN ON - SHUT OFF ORDER <br /> I H[REOV APPLV FOR THE USE OF WATER IN ACCORDANCE W ITH THC ORDINANCES <br /> ANO POLIUES OI' THE W ATER DEPARTMENT NOW E%ISTING OR A�i SAME MPYUC <br /> IIEREAFTER CHAIIGED. (� <br /> ,.�•�. N�� �aE uHi,s ��r �O Co � <br /> rva oco rvo su� cus* �� - <br /> � / DATC- . . - - <br /> �a�P�,��.����.�R����=„�.��� o,����,��3 ��-�—e__ _ <br /> ADOITION OLOCK LOT - <br /> / 9 .�,-,���c.0 - <br /> SEFVIC[FOD 5 'e-� (. � <br /> f.�.G'f'��V �L.Q/� • OWNER ❑ <br /> CONSUMEN —_— � TENANT❑ <br /> r' <br /> OWNEF qopRE55 <br /> �� <br /> CQNTRAROR ppoa[55 <br /> RECEIPT ❑ FIXED pr.�pUNT PA�� <br /> NUMOEN _ ❑ DEPOSIT REC[IVED S � OY <br /> SIGNEO : X <br /> �.e,r.d Q-f,)C. ''i , a�L � 3/� "" '�'�7� — <br /> R(_M4RR5: ^ � � <br /> /�-. <br /> s[RVICE I ��I �-. <br /> oeDCR NO.— - - �V"- _ <br /> - • <br /> /�, zs -G9 <br /> � <br /> / 5 , — c��6��; <br /> r.- <br /> �, , <br /> � ? �i�.-�— �r� ��/.,b _ <br /> �t.�J -- <br /> APPLICIITION NC. <br /> � '� (� (1 1 <br /> ,, . . <br /> ..-�.r-rot�ri rrrr .. --- _--- __ _ _. rr�m.mrr: <br />