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MTU Installation Request Form
Time
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Date
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Account Name, J-J.;, ,"" L../ lU nO-....
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Address ,'JS-S- I
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Account
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Meter size
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::J(~/:J [) 1-76
Meter SIN AS c;:."z- "3 7 1.-1
MTU # 60 'J' J t .5("
Check the following:
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Flow y' Meter seal
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Main on
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Comments j'} 1'1 ,rt / J A,. j'J'(i L.L' [ie'. /lTI'l-(..
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Installed by
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ACCOUNT #-1J()Cf1~ ~ (j"nJl
ADDR.ESS 6:5T/ 01zM.6 ~ I/b/
OLD METER
NEW METER
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Ser.No. ') 7r~0~/1 -? Ser.NO./~ 7~ ~ '17f
Digits / Reg.No.
Reading . ~ 7#-2Cl. Size. {; ~ ~/~ q
MIU Ser.No. "'~ '7 a J)(';
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MIU Phone#
Bldg. Type:
RPZ Installed Yes
Port 1
2
No RPZ Ser. No.
Service Size
''f/ 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.
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'S SIGNATURE
DATE '7 oJ 7,. 6 3
From 90080 (4-93) Copy 1 Customer
PHONE
Copy 2 WS
Copy3&4WD