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WATER PERMIT <br /> te <br /> Date: <br /> CUSTOMER NAME: <br /> BILLING ADDRESS: <br /> TELEPHONE NO. : � 216 � � (o � / 70 � <br /> USE 'OF WATER-. Te <br /> LOCATION OF WATER TO BE USED: //flzc--1 <br /> -r <br /> FRES. TO BE BILLED MONTHLY <br /> METERED: YES NO BEGINNING METER READ: <br /> Hydrant Meter # : ENDING METER READ: <br /> $. 75 per hundred cubic feet: $ <br /> LOAD COUNT: No. gallons per load,5 ,!i20 No. of Loads: <br /> $. 75 per hundred cubic feet = $1. 00/per thousand gallons or <br /> $10;. 00 per day, whichever is greater. <br /> DAILY USE: <br /> $10. 00 PER DAY. <br /> TIME OF USE: FROM: TO: / � <br /> F <br /> REPtAT�S: l�v��-^ c� /,c. 7 77 . 7Sr <br /> 17 <br /> Customer Signature Approved by Water Sup Tisor <br /> 6300-86--268 <br /> r <br />