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CITY OF EVERETT WATER DEPT. <br />APPLICATION FOR SERVICEAND/OR TURN ON - SHUT OFF ORDER <br />I HEREBY APPLY FOR THE USE <br />OF WATER IN <br />ACCORDANCE <br />RWITH <br />EORDINANCES <br />AND POLICIES OF THE WATER STINGOR AS SAME MAYBE <br />HEREAFTER CHANGED. n <br />T'P <br />BCD <br />NO. <br />SUB T'" <br />S] <br />Rf° <br />U <br />SIZE <br />UNITS <br />O/ <br />o <br />.� <br />DATE <br />/e 19 <br />ElSIIIUTAff ❑ OTHCR'� / 9a / <br />BLOCK LOT <br />'71 � <br />SERVILE ADORE59 'I <br />III <br />OWNER <br />CONSUMER <br />TENANT ❑ <br />OWNER <br />A ss� <br />CONTRALa!fD <br />ODRL55 <br />AT <br />/�,OQ <br />P <br />RECEIPT <br />NUMBER IT RE�CEI%MDD f <br />BY <br />J <br />6, eltt.0 <br />x <br />�n,ly� <br />-_ <br />SIGNED: <br />^ <br />REMARKS <br />ERVICE 7 A, <br />Hv <br />- -- <br />ORDER NO. <br />-. _- <br />i <br />X <br />Qr. <br />• - <br />APPLICL(ION 1 <br />302 <br />WORKCOMPLETED <br />