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HomeMy WebLinkAboutWater Meter lVl"llJ Installation. Request Form Date 4'~ Jos- 3 :L'JQ -~~ t f$J -=;. Time Account Name I ) ~/'/td; /1 L ha.J Address c1cJldJ tR.~~n~fJ t2uu . (J ACCOWlt # [()0~'g7oo Meter size 5j<f: II Gtv8S-~3C Meter SIN MTU# C)O~{<9J b:;P7 Check the f?llowihg: Flow v--.. Meter seal t....-- Mainon~ COlmnents " .~ jt1/ CQ/. -e 3 ~ '5 6-- c~. Installed by /~ /'