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MTU Installatioll. Request Form
Dale
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Accmwl Name fr1i.L '" X~ Ruh fY)?f~_
Address 1.J;L/50 t!-rri/7r)u. .Jl Jib
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AccOWll.# (0051) 5TLJ
Meter size
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Meler SIN
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MTU # 0 LD ~ ::;.. /,-; J +-
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Check lhe followiilg:
Flow
Meter seal
Main on
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IusIaUed by A- "" ~
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ACCOUNT #
S7&)DV
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ADDRESS
OLD METER
Ser. No.
t-05~3)LI2
Digits
Rea.dina
'"31\~lO X\
~h~'Z I
MIU Ser. No.
MIU Phone#
Bldg. Type:
RPZ Installed Yes No
Service Size '~
Ground Yes i- No_
Comments:
/0
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NEW METER
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Ser. No. II ; 0 "<-14 I
Reg.No. I
<//7 Ir
Size / fJ
,
Port 1
2
RPZ Ser. No.
Type
lead_ coppe~ Iron Pipe_
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 ACCEPTA~lEJ WATER METER. SEAL WIRE IN PLACE.
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From 90080 (4:93) I Copy 1 Customer Copy 2 WS Copy 3 & 4 WD