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I57632 <br />CITY OF EV;ERETT WATER DEPT. <br />APPLICATION FOR SERVICEANo/oR TURN ON - SHUT OFF ORDER <br />I HEREBY APPLY THE USETHE ORDINANCES <br />AND POLIO CS OF FORTHEWATER D EPARTMENTWATER INANOWREX STEINGI OR AS SAME MAYBE <br />HEREAFTER CHANGED. _ <br />TYP <br />BCD <br />NO. <br />SUS TYPE <br />RCV <br />SIZEUNITS <br />�- <br />DATr /— .2- 19 G <br />i (APPLICATION O <br />tURN.ON LJ I I SNUt•Orre <br />OTI1CR <br />BLOCK <br />LOT <br />ADDITION <br />�r <br />SERVICE ADDRESS <br />'��� -7 <br />/ <br />OWNER ❑ <br />CONSUMER <br />TENANT ❑ <br />OWNER <br />.mea ss <br />FIXED <br />AMOUNT <br />PAID <br />BY <br />NUMBER <br />DEPOSIT <br />RECEIVED S <br />SIGNED: X <br />n l•t. x....- <br />REMARKS <br />a.E �, <br />. ys <br />SERVICE m, _ •%7 .2-� _ <br />ORDER NO. -'----- <br />ICA ON NO. <br />1 793 <br />WORK COMPLETED <br />