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CITY OF EVERETT WATER DEPT. <br />APPLICATION FOR SERVICE AND,OR TURN ON • SHUT OFF ORDER <br />I HEREBY APPLY FOR THE USE OF W. TER IN ACCORDANCE WITH THE ORDINANCES <br />AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING OR AS SAME MAYBE <br />HEREAFTER CHANGED. J,�./- <br />-- -- DATE 14 <br />EEM�IT` � / 9ia � <br />EAPPLICATION TURNONI❑ SHUT.orr a OTHER <br />ADDITION V'G:-LtL.Q-tl/d' <br />�7 {! DLgCtK LOT ID <br />SERVICE ADDRESS �,rd / Jj , <br />R <br />I <br />NHIR <br />ADDRE <br />CONTRACTOR /� <br />RECEIPT &9yv XED AMOUNT <br />NUMBER DE RAECENTDI <br />SIGNED. x <br />TYPE <br />BCD <br />NO <br />SUR T�Pv. <br />RE° <br />512E <br />UNITS <br />QOlo2"' <br />O <br />SERVICE � N/oL�L [� <br />SDRIERERVICE <br />NO <br />._/ BY <br />WORN COMPLETED .= <br />OWNER ❑ <br />APPLICATION NO. <br />1411 <br />i <br />