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CITY OF EVERETT WATER DEPT. <br /> TURN ON — SHUT OFF ORDER_ <br /> Typalecowv. eoe cv.T a. Date <br /> 2l.0r <br /> � 0 tR <br /> !�1 <br /> Turn E] <br /> OIIt ❑ Other ,C APpl. No. `! <br /> Service Address <br /> 410 _ `Se ^^ e.• •! <br /> Bitting Addraea <br /> �Y" e <br /> Consumer <br /> Owner ! <br /> Signe4X . <br /> Rame <br /> RECORD OF TURN ON / SHUT OFF <br /> urn On Date— <br /> InspectedIgo <br /> hul 011 <br /> ❑ Rem a eter No. Reeding <br /> -'Z" ��o9�R1— Roading O n"10 V <br /> ElIna Meter No. q �� <br /> LSA" By <br /> Now service C] off Dy_.ieaeG rcuc• , <br /> Installed— <br /> �— =BILLING DEPARTMENT <br /> Date Entered �' -1:- 19 /- <br /> ate, art c.ef 6eniblloa TOTAL <br /> sella Cowelrvc6oa —;z_ <br /> Remarks: <br /> N° 6210 <br />