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CITY OF EVERETT WATER DEPT. <br /> APPLICATION FOR SERVICE AND/OR TURN ON - SHUT OFF ORDERI HER EBY APPLY i <br /> FOR THE USE <br /> OF WATER IN <br /> ACCORDANCE WITH <br /> E <br /> AND POLICIES OF THE WATER DEPARTMENT EXISTING OR AS SAME MAYBE <br /> HEREAFTER CHANGED. <br /> 14YPd TICE)I NO. I SUO TT9T RIIv I SIZE UNITS <br /> DATE <br /> �I 402 <br /> �- !�. <br /> I ISA ATMN 1:'le <br /> SIN1:1 <br /> T.OfIOTHER <br /> ADDITION O��/-I�'Iy _j? /_ BLOCK LOT Z <br /> SERVICE AODRE55 '-v r /J Ae -- <br /> OWNER ❑ <br /> CONSUMER TEN/.NT❑ I <br /> OWNER <br /> ❑DRESS <br /> CONTRACTOR ADDRESS - - <br /> FIXED AMOUNT D. PAID AL v <br /> LIBER DEPOSIT RECEIVED f DY <br /> i <br /> SIGNED: X <br /> i1EMARKS: <br /> SERVICE p-J BV <br /> ORDER NO. <br /> • <br /> !) <br /> � � N <br /> APPLICATION NC <br /> _ 163 <br /> G J S <br /> ' 'WORN COMPLETED _.,.! � �, - � � {-OREM AN <br />