911.751A APPLICATION FOR PERMIT TO OBTAIN TEMPORARY WATER FROM A PUBLIC HYDRANT.
 
CITY OF LORAIN, OHIO - UTILITIES DEPARTMENT
 
STANDARD RATES MAY 1990:
 
   l. Deposit of $500.00
   2. $2.00 per day charge (minimum $25.00)
   3. $50.00 lost wrench charge
   4. Replacement cost of lost or damaged hose or connections.
   5. $1.03 per 100 cubic feet of water, or current rate.
 
PLEASE READ:    ALL ITEMS MUST BE RETURNED WITHIN NINETY (90) DAYS. IF NOT, YOUR CHECK WILL BE CASHED AND LEGAL PROCEEDINGS, AT YOUR EXPENSE, WILL BE INITIATED TO RECOVER CITY PROPERTY.
 
I have read and understand the ninety (90) day limit.
 
Date:                                                                                                                           
                Signature
          Telephone                                                               
Return Date:                    Numbers                                                                
 
 
       OUT    IN          CHARGES
METER #                                                      $                 
 
READ                                                           Used x 103 = $                 
 
PLUS: $2.00 PER DAY (MINIMUM $25.00)          $                 
WRENCH #                                                           $                 
HOSE AND CONNECTIONS                                  $               
                                                                   
                                                                          TOTAL $               
 
ALL ITEMS RETURNED IN GOOD WORKING ORDER. EXCEPTIONS LISTED BELOW:
 
 
 
 
 
 
RECEIVED BY                                                     ON                                                  
(Ord. 167-96. Passed 9-16-96.)