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HomeMy WebLinkAboutWater Meter MTU Installation Request Form Date t/ / /1'/(1L/ , Time .0- ( ~,." :"--:1' -rL AccountName CMl1rl tflJ.jJJk/ II . Address /,J ~J'{) VvJ/; plY-tiLt ;( cL Account # ~'()oq.jav / J Meter size / 2-/ In 7.... 0 -*;to c-> k u-'/-e3 I j cld MeterSIN L~r34-B c; /4- 71/C? 00 b r MTU# oO:C r:e B / 7_5 Check the following: Flow \/ Meter seal ~L/ Main on !I Comments Idlti7 fA ~ r2L &/jh yJ/ Ne:t:/ c5?a7;) tiLl .. f'1/i~l[ff! he L{ (}U/U & / ~ - ~3J:;-- {)5Ct-: Installed by 9S;{ - L( (f{) - 6&55- ~~fl,~~ L ~, I:JuJIi - (/ ADDRESS / ~~O JWh fJtJ.{~ f<d Jr;' ,,"?I~ , ..,-~ =1\ \ to:1 ACCOUNT #. ("J / J:2 (PDOD OLD METER NEW METER ../ Ser. No. L/Q271oe I /Ser. No. '10 \Otf'l17 U~~~~"'l ~)o-9 7tll Q. jHIIt J R~9 IOtJt/&7<<XJ Reg.No. " Size I( MIU Ser. No. 5'104 ~ I '-- MIU Phone# Bldg. Type: 5i 4bt9! Port 1. kP"", 2 U'y J, , RPZ Installed Ves No RPZ Ser. No. Service Size ''t Type Ground ves;t:No- lead_ Copper_ Iron Pipe_ Comments: & 00;"6/?6./ OOtJ I {;tJCJ -./ Hrlt 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 From 90080 (4-93) PHONE Copy 2 WS Copy3&4WD Copy 1 Customer