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j <br /> � <br /> � 9/73 <br /> CITY OF EVERETT �VA i ER DEPT. ; <br /> APPLICATION FOR SERVICEANoioR TURN ON - SHUT OFF ORDER <br /> � I HEREBY APPLY FOR THE USE OF WqTER IN ACCORDANCE WITH THE ORDINANC[S ' <br /> AND POLIpES OF THE W ATER DEPARTMf NT NOW EXISTING OR AS SAME MAY�E ' � <br /> HEREFFTER CHANGED. <br /> TVPE pCO NO. SU��I{I-- � _Ei°- SR[ UNITS ` ,/ �, <br /> --II^; i�� �ATE'I� �f/ �/ .. <br /> ����� <br /> Y/ <br /> (�' ' �� _ <br /> / / `%/73 <br /> � TVPLICATIOk'I�/I TURN.ON❑SMOT-0FI'a OTMCF ',,, <br /> U <br /> � AD�ITIJN'' `-- " " " �' 8�� LOT I <br /> SERVIC['AODRE55 �•'�����""� ` � � a Y�'+� -'�"'�--� �'� <br /> ���R .��C/ • /�-Ll'...A - `-�U6/ �:.-�C'�o��n.G � <br /> OWNER <br /> � ApORC55 <br /> CONTRACTOR ' <br /> ��/ :COR65 � .I <br /> '� RECEIPT LJ FIXED ,�WNT `/O, �Gp pqlp `f, }�fj_� ' <br /> � NUM1I�ER ��y�/// /❑� DEPOSIT I�.51�EI O S ��`��,'��/�(/]�� BY '� <br /> � SIGNEU: J� l� `J. .`���`^`+ � . <br /> �%ca:. l.c..�L' �* .-�L_—G�,��_' <br /> IiEM K5. "L�•I.CJ � �- � C ^ <br /> ----�—� L 1 <br /> '' J <br /> ; ��-��J -_ _ <br /> I SERVICE /�Q �� . I ' <br /> � ORDER NO. BY_ !�L'qC <br /> � � • I <br /> � <br /> I I <br /> � I <br /> I � i <br /> � I <br /> ' <br /> � �i <br /> j i <br /> l ! <br /> I <br /> I � �`.p��� <br /> 2 �7 FPPL 'ATION NQ <br /> ; � ', {] <br /> /y J *� �� V <br /> ' N�OFKCOMPLETEp �- ��G� / , � <br /> /��J<�l��i _ <br /> � �OR-@1AN � <br /> � <br /> ���_. .. _ _.._. .. .. <br />