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r <br />CITY OF EVERETT WATER DEPT. <br />APPLICATION FOR SERVICE AND/OR TURN 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 MAYBE <br />HEREAFTER CHANGE.. <br />TYP BCD NO =U= I� 5'ZE UNITS DATE , <br />I IA APPLICATION T RWON ❑ h,Ut.orr GTNER T <br />u b ./!. e i e.L _ BLOCK __. <br />ADpT10N Y—r±�y� <br />LOT <br />ll� <br />SERVICE ADDRESS -Y' <br />OWNER ❑ <br />CONSUMER -- TENANT 0 <br />RECEIPT �. � D ED AMii{,INT <br />NUMBER �M-D 9T NW $ <br />SIGNED : X —� <br />REMARKS: <br />SERVICE BY <br />ORDER NO. _.--- <br />!1G PAID <br />BY <br />J <br />APPL'CAT"" NO <br />_ 106 <br />WORK COMPLETED <br />