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l�3�8 <br />__ ��: <br />; CITY OF EVERETT tNATER DEPT. <br />I 4PPLICATION FOR SERVICEANoioa TURN ON - SHUT OFF <br />I HERE�Y LY FOR THE USE OF WqTER IN ACCORDANCE W ITH THE ORDINq�N gR <br />AND POLIQES OF THE bVATER DEPARTMENT N`vW EXISTING OR AS SAME MAY�E <br />i1EREAFTER CHANGED. <br />!PE CCO NO. SIJp ���t ��'` SIZE UNITS // <br />�� f � onrcG --�' G�% �'� b[� <br />1 �� — <br />�� i 9 ��� <br />���P`�CFTION tuRM1.pry ❑ Sf�UT-0�� <br />OTMLR <br />ADOITION � �L�/� �y�• / <br />O� fLOCK LOT <br />/ � <br />SERVICEAODftE55_ ���(O �� �`. /,� <br />�f� <br />WNSUMER <br />ON'N[R ❑ I <br />OWNER _. i TENANT ❑ ' <br />I CONTRAC�p <br />I RECEIPT � <br />NUMpER _ <br />�. SIGNED � X <br />� <br />RF_MqRKS: <br />�Gi�d (�a�.al �: = �O.ti4! d.F', <br />//, FIXED �Doac55 v �d <br />— � OEPO51� R IXIiVED 5 _—_ �n • �'� P �ID <br />: i / <br />�� i <br />I <br />. A LICATION NO. <br />� - _� ___-- ' � �',' <br />�,� <br />� ,�.��.,._���.,���,�„ � <br />