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f 93'�° <br />.,..._ <br />CiTY JF <br />-.,�.r- <br />�1fERETT �'ATER DEPT. <br />� APPLICATION FOR SERVICEAN�ior� T:IF^I ON - SHUT OFF ORDER <br />� I HERE�Y APPLY FUH THE USE OF WATER IN ACCORDANCE W ITH THE ORDINANCES <br />i ANU FOLICI[5 OF THE W ATER OEPARTMENT NOW EXISTING OR AS SAME M11AY9E <br />� HEREAFTER CHANGtD. <br />. TVPE OCD NO. SU� ci�sr. ��i SILE �1NIi5 /� /� � <br />� / DAT — ��� -- <br />C�1�2- /93�a <br />V,n�.r�.�cnnor: tuaw.arv❑s��ur-orr oTr��r, <br />�� �' /� <br />ADDITION��u��"�� �)'w L CK OT <br />. sCItVICE AOORE55 /� "������� .��� — <br />OWNER ❑ <br />I <br />CONSUM[R TENANT ❑ <br />) <br />OWNEF / /joDts55 ^. }� i/ � 4✓IL � <br />_ �-�a� LQ G� d <br />CONTRACTOR aoon[55 <br />� / ^/� ❑ FIXCD M1WNT PAID <br />j REC[IPT ,�/ I�0 // / �� -- <br />hUM�ER " I L� �EPO51T RECEIVF� $ <br />-. SIGNECI : i� / � � t�''.� � � ��u t�c¢� <br />/y '.��-S� � --�_ <br />p[MAFKS: <br />'. 5[RVICE if,� <br />ORDEH NO. <br />pV <br />— — APPLICATION NO./ , <br />/ <br />� � ' �; <br />� <br />N'9HKC0"iP�.^I.D I,� �I.'/.1f1 <br />