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CITY OF EVERETT WATER DEPT. <br />APPLICATION FOR SERVICE ANoioRTURN ON -SHUT OFF ORDER <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE ORDINANCES <br />AND POLICIES OF THE 'NATER DEPARTMENT NOW EXISTING OR AS SAME MAYBE <br />HEREAFTER CHANGED. _ /, <br />NO. <br />SUD <br />CUiI' <br />a. <br />512E <br />UNITS <br />I LM ICATIOtI/1yF',[�1 <br />SERVICEADDRESSADDRESS <br />CONSUME <br />OWNS! <br />iYPF. REv <br />MCO <br />RECEIPT •� <br />NUMBER <br />SIGNED: X�e <br />REMARKS <br />SERVICE <br />121W - /�O` <br />URN14 <br />J❑ SMIIT Of OMER <br />BLOCK.,�.- LOT <br />If— <br />N;;z4 • _, � <br />OWNER ❑ <br />APPLICATION NU. <br />356'7 <br />WORKCOMPLETED J ` Y��FOREMAN <br />