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11147 <br />CITY OF EVERETT <br />APPLICATION FOR SERVICEANDioRTURN ON - SHUT OFF ORDER <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE ORDINANCES <br />AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING OR AS SAME MAYBE <br />HEREAFTER CHANGED. � <br />I TYP BCD O. SUD TrPE REv sRr UNITS / VLF'-v �6 <br />/'/�n//7�J/J�DAAIyLZ In <br />APPLI=ATION 1PRN-ONBMULOrrOOTHER <br />• r L� <br />/ - <br />O [�Dd TIO 1 /� _,A7yK LOT <br />SERVICE ADDR _ <br />�R itG-L� ./ A •,yr OWNEA ❑ <br />((Q}�,�}`1:p. • d ✓� 4 T ANT <br />OWNER AODr[s.l <br />CONTRACTOR TL�ANI II I•!!J L.V�AI <br />ADCRESS <br />RECEIPT FIXED MOU AN 'I PAID # �• /1 f" <br />NUMBER _ Q/E/pp5R RE E SJ/�, — - BY <br />SIGNED: x /WL �%(.C. (,-, �QC • _,'f_3 �_ (` <br />L.L / <br />