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MTU Installation Request Form
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Meter size { lQ II ~..f'UillJ\
MeterSIN ~3~'1027 /!p{)~:}~:};
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MTU# (?:/O .CJ 1)10
Date
Time
Check the following:
FlowK Meter seal V Mainon \A
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Installed by (~ Ill)
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ACCOUNT #
X WILDS PKWY NW, 14929
ADDRESS
QUilT, KENNETH
OLD METER
NEW METER
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Ser. No.
Ser. No.
p'/A
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Digits Reg.No.
Reading ". . ty,'i t () D v().. Size
July Read: 54000 ,/
MIU Ser: No. fL2~! ('" 'f
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MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No
RPZ Ser. No.
Service Size
. ''if
Type
Ground Yes r No_
Lead_ copper~ 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.
OCCUPANT'~ $IGNATURE
DATE ) ~ 1Jj
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From 90080 (4-91)
Copy 1 Customer
PHONE
Copy 2 WS
Copy3&4WD