Laserfiche WebLink
�\ � <br />• �./���, . \�.. _. <br />� . �� • � ..�.. <br />� CITY OF EVERFTT W�TER �EPT. <br />APPLICATION FOR SERVICEA��o�oR TURN ON - SHUT OFF ORDER <br />� I HERE�Y APPLY FOR THE USE OF WATE^ IN ACCORDANCE V�'I7H THE ORDINANCES . <br />' AND POLICIES OF l'HE W ATER DEPARTMENT NOK' EXISTING GR AS SAME MAV�E <br />' HEREAFTER CHANGE�. � <br />IiYPEI pC� NO. � SU� c=�1. �ci SIZE UNITS DATE� � _ 19 �����,I <br />; �/l ao <br />I `�i� - ��o� � i <br />APPLICATIO.'I TUFN-GN SNiIT-0Ff OTMER <br />�i �ITION � �� LO� L� I�� <br />� SERVICE AODHE55 �� O � �� 7�� ��� �. <br />� CONSUMER OR'NER ❑ �i <br />TENANT ❑ I <br />I OWNER I <br />j F�DRGS � <br />' CONTFAC"rna �_ . /� � / �—A� ', <br />/ ApORC55 <br />� RECEIPT ���Q FIXEO µ�WNT ��Q PAID C�y{,Q�1 <br />�' NJMBER C] UC-pC51T REC IOED S OV <br />K� � <br />I SIGNED : X i: � � •. ������ . <br />I .G�-.-Le� i <br />REMARKS: <br />� � I <br />I'I SERVICE � . <br />I ORpER NO. By i <br />I • � � � i <br />l i <br />_ � ,LJ'i ��C. �� __ � <br />i <br />I <br />I�� -� —� , PLICATIOY ND. i <br />� ��9J � <br />I WORKCOMPLETED��� �'J �� %�� 1-� a-<- _ i <br />POREMAN <br />i <br />