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HomeMy WebLinkAboutWater Meter 1\1J:1" 11 Installation. Request F VJ.1ll Dale if! {~/oS-" tUn Time - .- ACCOWllName ll}in ~ '/~ X/~ Address I t.jC/gl./ .1AJt1~ I.~ ~ N~ AccoWlt.# oOat/~ Meter size I~ Meler SIN Ljqtj9 77/9 MTU# 36-t5"f./a ~ hao Check the followihg: FlOWe>("' Melerseal;~ Mainon,~ COlwnenls 3/d 1/ OS' IrldJ/l tuJtlJtLdRd- tAt/UlJtd/ t . / r90m/?O hlstalled bv 4X /- , t/vLUJ '!y)~d.1- PI Uf1L 61 rtf} Itl~- sCJiJ-S5SV 1":'-''''''. , .....- ;.. ""'"-< .i'-'~"~'-"~"-" ~""""""'~~"ir ~~>~ .\~:UNTB 00 z-v, ODD I ADDRESS /t('!i'/ tJv.44r.~eJ,' / '/ OLD METER \J ic..k:..; -( ,".\\;".. NEW METER Sei.No.1t.--t- iff L#- Ser.No.-2101f11f1-{ Digit~ / Reg. No. - . / ~ it -../. 'leading 1:~ S;za s~ 'f.'C.1t. f6 - 1 f~" MIU Ser.Nn ;. ~~~ '1 z......- '>J. 'I' MIU Phone ,. Bldg. Type: Port 1 ? RPZ Installed Yes ~ _ RPZSer. NO, Service Site ,,(/) Type Ground Y8SX No _ Lead coppe~ Iron Pip" COMMENTS: . ~ ~g S- ~ Please keep this receipt for your records. The final reading from your old water meter will be used in determining your next reQular bill. i If you have any questions or problems. please contact the Water Department during normalworking hours:" Tha"I'lK you f()t your cooperation. -------~-----~------_::......._-- INSTAllATION ACCEPTAB~. W~R METER SEAL WIRE IN PLACE. OCCUPANT'SSIGNATURF 7//A'~~J?? - - i..-/ / DATE Cl-1.<>-f!.1- PH~~il!!':~ <I Form 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 &4WD