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CITY OF EVERETT WAITER DEPT. <br />i <br />APPLICATION FOR SERVICEANDIOR TURN ON - SHUT OFF ORDER <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE ORDINANCES <br />AND POLICIES OF THE W ATER DEPARTMENT NOW EXIST G OR AS SAME MAYBE <br />NEP.E-IFTER CHANGED. <br />TYPE OCU NO. SUD CUSr RLv. 512[ UNITS I: <br />I� V3 DATE 196 <br />I <br />�APPLIChTION T(U//F�N-SON �9a79 <br />/❑SHUT'OPI' OTHE/i <br />ADDITION=�— <br />,/ LOT w <br />SERVICE ADDRESS �T'' / <br />CONSUMER--7-r-Iy� OWNER ❑ <br />' Ell* OWNER J��-�-lif. bW}/J't O T <br />1 CONTRACTOR ADDRESS <br />RECEIPT �' AooRi55 / <br />NUMBER IXED AMOUNT / Al <br />DEPOSIT RECEIVED$ By�C� <br />SIGNED: .�/Ip I <br />REMARKS: <br />SERVICE17 <br />ORDER NO. 13Y._,.V_ <br />F APD/ <br />APPLICATION NO. <br />IJ <br />566 <br />WORK COMPLETED. <br />4M <br />