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CITY OF EVERETT WATER DEPT. <br />I <br />APPLICATION FOR SERVICE AND/OR TURN ON - SHUT OFF ORDER <br />1 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. o <br />ITYPd <br />BCD <br />I NO <br />I SUB <br />u•T <br />u <br />S17C <br />UNITS <br />13 <br />3 <br />OXo <br />I I APPLICATION❑ <br />LJI <br />TURN. ON 1-UT <br />III OTIIER <br />I <br />ADDITION <br />LOCK <br />LOT <br />SERVICE ADDRESS <br />�a o <br />-- 23''=� <br />(— <br />CONSUMER <br />❑ <br />A / <br />_OWNER <br />TENANT ❑ <br />ACORE55 <br />CONTRACTOR <br />❑ FIXED <br />AODRE <br />RECEIPT <br />NUMBER <br />❑ DEPOSIT <br />AMOUNT / <br />RECEIVED $ <br />PAID <br />DY - <br />SIGNED : X <br />r <br />-_ <br />REM92KS: Iva <br />44 K; <br />--�'4' <br />- <br />T - <br />APPLICATION NO. <br />1020 <br />J <br />WORK COMPLETED —Ze -' S f 3 <br />fOREIAAN <br />