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Date
Time
Account
Name
Address
Account #
Meter Size
Meter SIN
MTU#
Check the
Following:
Comments:
Installed By:
MTU Installation Request Form
TUESDAY, AUGUST 28, 2007
8:00 A.M.
PREMIERE DANCE
4616 COLORADO ST SE
I
01015600
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/ Flow
;/" Meter Seal
t/ Main On
INSTALL MTU & SEAL METER
PER JEFF W/SCHERER PLUMBING
@ 612-747-3083
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OLD METER
NEW METER
Ser. No.
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Ser. No.
MIU Ser. No.
. Reg.No.
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Digits
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MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
Service Size ''%
Ground Yes ~o_
Type
lead_ copper-k. Iron Pipe_
Comments:
Please keep this receipt for your records. The final reading from your old water meter
will be used in determining your next regular bill.
If you have any questions or problems, please contact the Water Department during
normal working hours. Thank you for your cooperation.
INSTALLATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANTS SIGNATURE r Xi /\ (~.__..-
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DATE (1
From 90080 (4-93)
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Copy 1 Customer
Copy 2 WS
Copy3&4WD