Laserfiche WebLink
i <br />.�9 L8.. <br />CITY OF EVERETT' WATER DEPT. <br />APPLICATION FOR SERVICEAND/OR TURN ON - SHUT OFF ORDER <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE ORDINANCES <br />AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING OR AS SAME MAYBE <br />HEREAFTER CHANGED. <br />[ E <br />TYP BCD NO. SUB CUSYPi RaV. SIZE UNITS <br />/e <br />J_ <br />�7 <br />G <br />DATE d <br />19G <br />P <br />^� �� <br />1 APPLICATION RTURN-ON❑SHUT.OFFI (OTHER <br />LJ u <br />ADDITION <br />BLOCK <br />LOT <br />SERVICE ADDRESS <br />I <br />OWNER ❑ <br />CONSUMER <br />TENANT ❑ <br />OWNER��� <br />ADDRESS <br />V� <br />CONTRALTO �T ADDRE5S <br />RECEIPT'�" .pI FIXED AMOUNT PAID <br />NUMBER O �E i ECEIVEDS <br />BY <br />X/ <br />SIGNED <br />REMARKS: <br />SERVICE 3 93 O BY <br />ORDER NO. <br />'1 (CATIONNO. <br />L . 63 <br />WORK COMPLETED Z <br />