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Nl"l'LJ Installation Request F VUH
Date
IV /S IN
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x/eo
Time
Account Name ~'-PJ-I r< ~'ltjfy0
1-:::-1\ (F l , 1 .4- fl1', 'I
Address '0 L/ I L) LJ.t./ I. (_~J.t Lc
Account #
00 fv 7. :;<wO
p~ 13751:-:
Meter size
571(r {I I
'- I ,j C"'~~~.J. D 0
Meter SIN
'/9-/3 Cj?t;B
MTU# oO~~,~4._-</J
Check the following:
/
J
Main on L/'
Flow -1/" Meter seal
Comments
01--)3 fer!
Installed by ,F P c1 )-~