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UTILITIES SERVICE/METER CHANGE ORDER <br />14 <br />• URN -ON El SHUT' -OFF NEW ACCNT. EISWR. CONST. �MTP..CHANGE <br />1CC0'vYi xV VL[P 1 <br />TTPI. 2 <br />R(V.CLS:° <br />SISC <br />NUM VNIT! p <br />pONO SON L> <br />o <br />6 <br />SERVICE <br />ADDRESS 13 <br />13 F,3 I5 16 V <br />1° <br />19 30 21 22 23 25 25 126 27 20 29 1301311 3; 1331 61 1 OD 3R 3> <br />T <br />1� <br />3p <br />OWNER <br />MORTGAGOR <br />12 <br />........ ,... <br />BILLING <br />NAME <br />1 1 I I I I I <br />BILL.STREET <br />1. CITYIO <br />N <br />Q AIRI) IV,er II <br />BAL. CIZIv <br />1 <br />V <br />�t�YE <br />BUILDER <br />SIGNIcoo <br />LlREMARw3:•�[ ���%� �A-UG 1 _{1 L L <br />S.O. BY: L <br />TURN ON 'OFF OCR toot 17DATE I0 <br />RcmovE I METER NyR•pG PREWOUS RCAOIxp I9 <br />INSTALL Mnu Nwq[R IB PRHSENT P[AOIxO 20 <br />[:]ON OFF OCHANGE BYI <br />I <br />NEW SERVICE <br />INSTALLED BY: 'OFF <br />11C]ON <br />]BILLING CEPAR TMENT DATE ENTERED IS <br />OLSCPIPiION <br />WATCR 23 <br />ll.V.cC <br />SEWER 24 <br />SCRVICE <br />ICWCR 21 <br />CONST. <br />TRRNpIT 2p <br />C.ARCC <br />TOTAL <br />C VRRCMT <br />C NAR 6C3 <br />I �I (� <br />I <br />�Iv <br />I✓ <br />I <br />IA" CMAPCC <br />CR CD+T' A^I• u. <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />1 <br />I <br />I <br />REMARKS: <br />ID <br />NO <br />IORM A 463-139 <br />0891 <br />L <br />