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C�' I <br /> CITY OF EVERETT WATER DEPT. <br /> APPLICATION FOR SERVICE AND•ORTURN 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 MAYBC <br /> HEREAFTER CHANGED. <br /> IrvPd BCD I NO. I SUB TIrTI RI' S12E UNITS <br /> / GATE9 <br /> ®APPOCAT ION <br /> V TURN ON SHUT-Of <br /> /���� <br /> ADDITION_ �Z � r ��� �� s�[Q�BLOC LOT <br /> SERVICE ADDRESS <br /> / C <br /> CONSUME fl 1 OWNER [3 <br /> TENANT O <br /> OWNER <br /> I( .uoR[ss <br /> CONTRACTOR_ <br /> .00Rfss <br /> RECEIPNUMBER �5 �L LJ DEPOSIT EprrIXED CEIVEDS ���\ PAID <br /> SIGNED: <br /> n p _ <br /> REMARKS: <br /> tf�l/ <br /> I [ <br /> SERVICE <br /> ORDER NO. BY — <br /> APPLICATION NO. <br /> T)`t �l <br /> WORN COMPLETED <br /> I. `_ / / VUHL.AN <br />