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� ' � <br /> CITY OF EVERETT V1/ATER DEPT. <br /> TURN ON - SHUT OFF ORDER <br /> TT�[ �CO N0. tY� CUST _Ir_ �� � O /� � <br /> y ,- ° � Date� �g <br /> I� n: ei� o��;/ .2I . <br /> On� ❑ S lu1 p Olhcr APPip. No.�O,�o2� <br /> Service Addross ��.�bs�i!�`Tc� ,ti�-i�L1C c�.44�„�;,L . <br /> BIIIingAddress— qZ9nZ�l �e/'M` / ��M <br /> Cunsumer <br /> i <br /> Ownor �� <br /> /. �-�.LO <br /> Slgned X � � ' ��-- . <br /> Remark9�-.-� �7,�'c-C /5L � � �u:-c� , <br /> � <br /> ���� B� G— .� <br /> RECORD OF TURN ON/ SHUT OFF <br /> Inspeclod ❑ Turn On Date—�=�� �' <br /> � Shut Ofl , —18 `-�-1- <br /> �Remove Meler No. - Reuding <br /> �7 Inslali Meter No.—��.J 1_i_m._c�.C�-L��qeaCing—��__. <br /> r.� <br /> New Service � ❑ On py_ <br /> Insta�led ��� � �^ -�.� Olf By <br /> ! <br /> BILLfNG DEPARTM[NT <br /> Date Entered �— � � �gbj <br /> GESCRIPTIOIJ �YVmt SeViet Sewo� Sanilatiaa I TCiAI/ <br /> Ser i[o Eer ice Con3b ctlon � <br /> Current Chargo —� I / <br /> Oack Cnarge , � <br /> Credit AdJ. <br /> 01her I ,� <br /> �: <br /> Remarks:— <br /> ��� �✓ / <br /> n. <br />