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MTU Installation Request F \.lUll
Date
lo / 10 I oc(
. a 111fr~
Time
AccountName~~ ~
Address /(PsrJ~rtpadMrW ~ ~
Account # OtJ 13dSYJ
Meter size
67ft
Meter SIN
.s7-tJ:JdJYJ 777'1 ~o ~ 7
MTU# e>C < i 67 4..~
Check the following: ,
Flow 7/' Meter seal ~
,;.
Main on
t//
Comments
~l}
Installed by
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1/
I -
{;;/d7!03
ACCOUNT # {JO 13d,-}{J)J . 4<{O/LLn
V'\ ./
ADDRESS 1&5D~ \JhCl~ntU. PL.h ('L/\
o . NEW METER: 00
Sor. No. ;!. 3e- 9 ~ :3 2 2- Sor. NO~ j 'i 'is/)"3 z..
- .
Digits. @
Readi~g t, cr~,~ 2..0 /
I
Q.f 0.0
OIJ~ i
OLD METER
Reg.No.
~--II
Size ~ A/ ~ p J2v 71-e
- I
MIU Ser.No. 00570 Z 4t,
.
MIU Phone#
Bldg. Type:
Port 1
2
RPZ Installed Yes
No RPZ Ser. No.
Service Size
''f1 Type
Ground Yes
No_
Lead_ Copper_ Iron Plpe_
Comments: YVl Jfu , ChB O'v...~ cV mJ~
~ A"'u..u;{ ~
. ,
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 Mt: I t:R SEAL WIRE IN PLACE.
OCCUPANT'S SIGNATURE
DATE b - 2-7- 0-'
PHONE
Copy 2 WS
Copy3&4WD
From 90080 (4-93)
Copy 1 Cuslomer