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MTU Installation Request Form
Date
Time
FRIDAY, JUNE 22,2007
12:00 PM
PULIE HOMES
Account
Name
Address 5412 1 KAILHEAD LN SE
Account # 00728700
Meter Size 1 "
Meter SIN ~;;;:::t:~4? 4- 356 /0
MTU# 0/5 z ;:,57~
Check the
Following:
~ Flow
V-. Meter Seal
~. MainOn
Comments: JEFF - VALLEY PLUMBING
612-232-1483 CALL HIM IF HOUSE
ISN'T OPEN
Installed By: C ..p
, I
JUN 2 2 2007