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CITY OF EVERETT WATER DEFT. <br />I <br />APPLICATION FOR SERVICE AND/On TURN _ON • SHUT OFF ORDER <br />I HERES APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE ORDINANCES <br />AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING OR AS SAME MAYBE <br />HEREAFTER CHANGED, w <br />hpd BCD I NO I SUB TrPE RIV S11E UNITS <br />19417 <br />®AWMATION'J I URN ON SHUT OF OTHER <br />GUI+ <br />1DOITION /� _BLOCK LOT <br />q 'L <br />SEFWCE ADI+RESS , <br />�MER— 2II�'-/3_ �F/✓!. �� /=OWNER ❑ <br />NERACORwl'I.QiKyfA�'��'l/ <br />E S [tLI <br />CONT.IACTOR— _ <br />AooRcss 9 <br />RECEIPT / I%EU AMdINT 160 V V PAID/ (, � <br />NUMBER DEPOSI- RECOW1.) S OY <br />SIGNEDx F ME • <br />i A <br />REMARKS . <br />I <br />SERVICE__ — <br />CINDER NO. Dv <br />I <br />J4 POOL 19 , Z -2 ---- - - <br />APPLICA /ION NO. <br />WORK COMPLETED Z �� G l -'r <br />,■ <br />