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- 1966V <br />CITY OF EVEREI T WATER DEPT. j <br />APPLICATION FOR SERVICE AND/OR TURN ON -SHUT OFF ORDER <br />I HEREBY APPLY FOR THE USE OF WATER IN I. CCOROANCE WITH THE ORDINANCES <br />AND PCLICIES OF THE WATER DEPARTMENT NOW EXISTING OR AS SAME MAYBE <br />HEREAFTER CHANGED. <br />TYP BCD NO. SUB TPE REv S12E UNITS K / 19 I_ <br />DAl E C �----- <br />Imo/ <br />EAPPLXATION❑TURN ON ❑ SHUT Orr I I OTHER <br />LOT &_� <br />ADOITION_• _ _ BLOCK <br />E ERVICL RDDRESS 100 .76 _ <br />_ OWNER ❑ <br />CONSUMER TENANT ❑ <br />OWNER ADORES <br />CONTRACTOR ADDRESS <br />I�pIXED AMOUNT O-V PAID <br />RECEIPT `� d-'EPOS' RECEIVED S - �� BY <br />NUMEER <br />SIGNED! x ' <br />REMARKS: /1fl4jw <br />SERVICE �� f By <br />ORDER NO <br />7 <br />APPLICATION NO, <br />I <br />WORKCOMPLLTED FOREMAN <br />