HomeMy WebLinkAboutWater Meter
MTU Installation Request Form
Time
c2//3/0 '7
J .
If) .'fXJ
Date
Account Name SJl,) oJ- \. ~OI7~l) SdYttm
,
Address tJL/ cW ~ ~(W)//1L{/Vl __\MWU ~ S6"
Account # fJ{;Qftoft{)
Meter size r:: I g I( t" () ro q F? rs 0
, -
Meter SIN 7"7 I xlo a L/f
MTU# 53J~9
Check the following:
Flow V Meter seal I
Main on
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CommentsY.DI07 ~j} f.hdJ
mnc 0L kJ tJAf
=#= R t'ES
Installed by ~ r
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;:~ACCOUNT #
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:X 86800 , , · ! <t()
FAIRLAWN SHORES TR SE, 5488
ADDRESS
STORM, ARNOLD
OLD METER
NEW METER
27026691
Ser. No.
/
Ser. No. 77 / 'bb'2 "/ ~
Reg.No. .
.j 1\
Size 5/4.. \:
I ....
Digits
Reading .9 Ii!J. h () . J(
July Read. 505730
5>o25<b
/~,
I.MIU Ser. No.
.I
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No RPZ Ser. No.
Service Size
'~ Type
lead_ copperX Iron Pipe_
. Ground YeSrNO-
Comments:
I
i
.1
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 ~Al WIRE IN PLACE.
OCCUPANTS SI :lNA"JURE ~(:(. ~
L
DATE \
F"T/7;rW-1
Copy 3 & 4WD
l01.
v
Jopy 1 Customer
PHONE
Copy 2 WS