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MTU Installation. Request Form
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AccoWlt Name-.&J fA) Cft1h Vl..XA"U
Address I&O~rl A/(91/111Ld~Dd kcL AI0
Date
Time
ACCOWlt #
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Meter size
Meter SIN
MTU#
Check the following:
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Flow X Meter seal )\
Main on
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ACCOUNT #
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ADDRESS
OLD METER
NEW METER.
Ser, No, Z. ce 3~. 30 3.5.
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Ser, No,~ J 7L,~._~
Digits
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MIU Ser, No. CO.>2.E 7 .3 "3
Reg.No.
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Size c:. /v ~t:> ~ ;; e
MIU Phone#
Bldg, Type:
Port 1
2
RPZ Installed Yes
No RPZ Ser, No.
Service Size
"if Type
Ground Yes
No_
lead_ Copper_ Iron Pipe_
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Please keep this receipt for your records, The final reading from your old water meter
will be used In determining your next regular bill,
Ii 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'S SIGNATURE
DATE 2f -"' /f---d ~
From 90080 (4-93) Copy 1 Customer
PHONE
Copy 2 WS
Copy3&4WD