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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 />Ty <br />REV. <br />lYP <br />BCD <br />NO. <br />SU6 <br />C115T <br />I <br />SIZE <br />UNITS <br />1.31 <br />- <br />DATE `"' // 19 <br />O__II��771// <br />APPCCATION❑' TURN -ON ❑ SHUT-OFF ❑OTHER <br />ADDITION ICs� —� ;;&kl / BLOCK LOT �L! <br />SERVICE ADDRESS <br />OWNER ❑ <br />CONSUMER /� TEyN-ANT ❑ <br />OWNER �.ze/L �� A00 � 1� 'I 4d <br />RECEIPT i <br />NUMBER � <br />SICNED: X <br />REMARKS: <br />FIXED AMOUNTHcee U, O 00 <br />DEPOSIT RECEIVED S <br />o f 'Ay /')1-4,6 <br />...� _ .0/A..... r—"Z�-/' ��/YYL04C_!/ <br />SERVICE �0 �0 BY /,/& <br />ORDER NO. <br />• ' <br />4TION NO. <br />713 <br />WORK COMPLETED <br />