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CITY 01' 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 DEPARTMENT NOW Chi <br />STING OR AS SAME MAYBE <br />HEREAFTER CHANGED. L/ <br />onrE Y 19 <br />TYP BCD NO. SUD M19 <br />TURN.ON �SH�T.ol❑OTHER /�?,9& <br />'n <br />T1�iT�C—Tf- DLQSL a( LOT <br />SERVICE ADDRES7 <br />✓/ O <br />O / - Ns,-i <br />. g <br />CONSUMER <br />OWNER <br />ACONTRACT04L2.) <br />PT <br />�OORE55kuMBER <br />OUNT <br />���� <br />DEPOSIT <br />R EIVED S <br />Q.;O PAID <br />ay <br />n <br />SERVICE <br />ORDER NO. DY <br />K <br />OWNER ❑ <br />TENANT ❑ <br />APPLICATION N� <br />__ 41 <br />WORK COMPLETED <br />PONE A - — <br />