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v <br />CITY OF EVERETT WATER DEPT.1 <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 />HEREAND POLICIES OF THE WATER DEPARTMENT NOW EXISTING UR AS SAME MAYBE <br />4FTER CHAN.oED. <br />I <br />TVP DCD NO. SUD TVPL RLV SIaE UNITS <br />/ 7 Q DATE // _ /y <br />/ / ly�� <br />�IIIIppppp'T77I� • / ' <br />�APPLKATION TURWON❑SHUT.OTT❑ <br />OTHER <br />ADpTION GA'L'E <br />/BLOCK LOT <br />SERVICE ADDRESS « J - /� 4� dam/'. <br />CONSUMER <br />OWNER <br />CONTRACTO.."77 "� <br />RECEIPT /d C� DEPOSIT <br />NUMBER <br />SIGNED X <br />REMARKS: <br />OWNER ,] <br />TENANT D <br />css <br />IAIO <br />Ess�41c1 Q, <br />f F13Y <br />SERVICE ,3 9OS- <br />ORDER NO <br />—' BY <br />APPLICATION NO. <br />134 <br />WORK COMPLETED <br />DI <br />