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Date
Time
Account
Name
Address
Account #
Meter Size
Meter SIN
MTU#
Check the
Following:
Comments:
MTU Installation Request Form
WEDNESDAY, JULY 11,2007
ANYTIME
HIDDEN OAKS SCHOOL/INDOOR
POOL
15855 FISH POINT RD SE
01147000
DUAL PORT 3" & 5/8"
7tJ/7 2CJ 73
/ 'If}~S-bO
J /~IOW
J t:E' iw:eter Seal
i/ Main On
E-CODER
Installed By: g
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ACCOUNT # () l/dL/OCO ~ ~Sl7COL
./
ADDRESS I~- J'S-S-JUh Pi /?tt 00
OLD METER
Ser. No.
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Digits
Readi~O ()UJ8b~OOD
MIU Ser. No. OD5 Cf 0 t.j ?/
MIU Phone#
Bldg. Type:
RPZ Installed Yes
No
Service Size
Ground Yes _ No~
Comments:
~ >.,{,,~r/
NEW METER.
Ser. No.
toP2149'l9
Reg.No.
../'u //
Size /
.
Port 1 X
2 X
RPZ Ser. No.
"Jd
"TYpe
Lead_ Copper_ Iron Pipe_
/J?/u
/2,#/ /~
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.
OCCUPANT'S SIGNATURE
INSTALLATION ACCEPTABLE. WATER Me I eR SEAL WIRE IN PLACE.
DATE
From 90080 (4-93)
copy 1 Customer
PHONE
Copy 2 WS
Copy3&4WD