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MTU Installation. Request Form
Dale
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Time
AccounlName c\'{}JUaJl, ij()/lu<1J
Address 5]10 fLi>ldfJ14J St Sb
Account.# (1XJ 5SC){))
Meter size 578 II ~ "'" ((.. 51 / 7)
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Meter SIN 77'-12 u (-;;./3
MTU# :J3l//gS-
Check the f?llow.ihg:
Flow~./ Meter seal V
Main on I~
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5/dS/C5
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Installed by ~~in . ryu,~ I.-<-/U() P(~u.o
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ACCOUNT # mo ~ 5CfaJ J( /'Yu.JL rn~
ADDRESS 61)fJ{) r!.tm.1{)Yl &Sf J&
OLD METER
NEW METER
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Ser. No. -z.) !si 'i S- Cc &>
Ser. No. -; -=t 4 '8 ~ '"t... \ 'T
Digits
Readina "'2... -:ro "Z. Cr'C..:> J(,
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CJ 05 34'( ~5
Reg.No.
Size
~/8
1
MIU Ser. No.
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No RPZSe~N~
Service Size
''% Type
Ground Yes No_ lead_ Copper_ Iron Pipe_
fl1TU :J:.v WELL Ar
Comments:..J/ILJ1ltP- /YLl~ cy;- m'1l.L- J n
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Pleas: keep this receipt for your records.~The final ;eading fr;1'~ld 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~-Zlo-O ?
From 90080 (4-93)
Copy 1 Customer
PHONE
Copy 2 WS
Copy3&4WD
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