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111111111 <br />CITY OF EVERETT WATER DEPT. <br />APPLICATION FOR SERVICEAND;OR TURN ON - SHUT OFF ORDER <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE ORDINANCES <br />AND POLICIES OF THE WATER DEPARTM'_NT NOW EXISTING OR AS SAME MAYBE <br />HEREAFTER CHANGED. ^ <br />TYP BCD NO SUB TYP[U4TjREv_ 512E UNITS <br />DATE. <br />• RPLICATION 0 TURN -ON ❑ SNUT.Orp ❑ OTHER <br />ADDITION /p <br />SERVICE ADDRESS <br />CONSUMER <br />OWNER <br />BLOCK <br />19 <br />cv� <br />LOT <br />RECEIPT 070 L:, rIXED <br />NUMBER `� _�� I, DEPOSIT R�PVED $y C d By `G <br />SIGNED: X ' ' �""^ ''G w p�( - <br />REMARKS : J+i. II. f_ <br />SERVICE <br />ORDER NO d _ BY.. <br />/113,,� I <br />t/ O-U Y 1 r 7 <br />WORN COMPLETED [A - 7 4 FOREMAN <br />-. <br />OWNER e <br />TENANT ❑ <br />N NO. <br />6 <br />-m aa- <br />