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MTU Installation Request Form
Date
Time
WEDNESDAY, JULY 18,2007
8:00 AM
STEVE ROBBINS
Account
Name
Address 2916 SOUTH SHORE DRIVE
Account # 0~604900 ~ v'
Meter Size , / .o~ 0 </- ~
Meter SIN ttt-?Cf po S 8 5:3 /"
MTU#
0/ &" 2~7:J ./
vi
~
y-
,
Check the
Following:
Flow
Meter Seal
Main On
Comments: HOUSE WAS REMODELED
MOVED IN LAST WEEKEND
METER & MTU WAS REMOVED
952-440-6211- WANTS A SEPARATE
METER FOR LAWN.
Installed By: .p:::p
*
.:r 7;. J J H in;> 70 C ().j ) I <:;)" C).J.J t1
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JUL 1 9 2007
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604900
ACCOUNT #
'7
2916 SOUTH SHORE DR
x
AOOel=SS
,'f
:/. I AMBROZ, JOHN & THERESA
OLD METER NEW METER
Ser. No.
/
111888i11 JI'_Ci
<:: c ,,;)..q tII
Ser. No.
iVr
Digits
Reg.No.
MIU Ser. No.
. ;)fJ!"W/d {
July Rea~~4280
00 l',)go 7 J
Size
Reading
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No RPZ Ser. No.
Service Size.
Ground Yes --00-
"~ Type
Lead_ CopperLlron 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 ~~C) ~ _ .
DATE \ - Cc~ (\ '\ . PHONE tsqt)2:<+4 t - ~b5<!
From 90080 (4-93)
Copy 1 Customer
Copy 2 WS
Copy3&4WD
..