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MTU Installation Request Form
Date
Time
AccountName k'~ -r lIo'J'1 wo)77~
Address 4- 18:3 .) (}...; c. {J./ ~ C J Y
Account 0 0 ~r Cz, I 5" 0 0
- ".
rJe.waoc,c> 7'0
Meter size{. Recvd j n ~ o\'b CJ4.B l4-cx3
~y~ ~_,~S?oZr57J
Meter SIN--11{)O!j 1,. 6 L
MTU # 0 () "2.-9 '3 ? 7~~~
Check the following:
Flow d
Meter seal V
Main onJ
Comments
Installed by P)Jj'" r~
ADDRESS
IJj/f}; jOd
()()J 315"[f) J~ '/nrvtiL
I-/f) J'3 lfI1{OrrYi, (!Uu S~
ACCOUNT #
OLD METER
NEW METER
Ser. No. 5 7Q2 9 5' Zj.J Ser. No.
Digits Reg.No.
Readina 0 Z. :3 7'1-13 () /Size
. .I .
MIU Ser. No.
oOt..~ 11 Z5
~ .
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No RPZSe~N~
Service Size
'~ Type
Ground Yes
No_
Lead_ Copper_ Iron Pipe_
.
Com,ments: i~. ~fwJ)- 1.{)uJ ~
IitJ I hit ldJiVI J tuW ~ Ju.a1V1 .
J&{- ~ tltqmd J(1():}u 1L dr:rtP lOb/a;.....-
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
DATE 11.,-- /g -,0 L PHONE Cf1.f7- Oig,s-
From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy3&4WD
r---~'~' --
.
,.:;o;-~.<~~~,...._ ...........
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,.~
if.;_,~,"A'"
ACCOUNT #
ADDR~SS
LAMB, JEFFREY
NEW METER
./
)7tJ~ 7)79
OLD METER
-S-109~r11
1.)Af."'~~~'"
Ser. No.
Ser. No.
Readin9
d-dO:/~O J\.
Reg.No.
Size 5;% 1000 6~ (
J
Digits
July Read: 168500
MIU Ser. No. c2 q 3C)Q3
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes No
RPZ Ser. No.
~~~S~ ~
Ground Yes 60_
Type
Lead_ coppe~' 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 Wa~r Department during
normal working hours. Thank you for your cooperation.
INSTALLATION ACCEPTABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANT'$ SIG~ATURE i () (O~ 1~,; (~!...(LjL,-I-
DATE /0 J'(I/n~ ( PHONE //41 0'2%5
From 90080 (4-~3) ! Copy 1 Customer Copy 2 WS Copy 3 & 4 WD