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f <br />1 <br />,.fir,. ....y... .,..o. ,.�_?. <br />CITY OF EVERETT WATER DEPT. <br />APPLICATION FOR SERVICEANDiOR TURN ON - SHUT OFF ORDER <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE ORDINANC,:S <br />AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING OR AS SAME MAYBE <br />HEREAFTER CIIANGED. <br />lrYPj BCD I NO "," N[ V . SUB SIZE UNITS <br />DATE IY AG <br />4 <br />�7/ <br />I �PPI ICATION ❑TURN.ON❑9,NT.MT❑O,IIER <br />ADDITION (lfc.4t. a.e-..fit'/ _ BLOCK <br />LOT -,�A <br />SERVICE ADDRESS <br />Ll <br />CONSUMER _. <br />OWNER <br />OWNER // -[l iC.CLsai <br />TENANT ❑ <br />•OORl95�j( <br />'/ <br />COWeRACTfM <br />s� (' <br />RECEIPT 37 <br />AooPESS <br />FIXED AMOUNT ry PAID / <br />NUMBER <br />DEPOSSIIT RECEIVERS BY <br />LL��" <br />. /f,/��' <br />SIGNED: X JL[A� G /�� _<� <br />I -If -4�1 <br />REMARKS <br />S[RVICL <br />ORDER NO _��s By— 771'R—` <br />APPLICATION NO <br />—�—�� FORELIAN <br />T <br />