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ADDRESS
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ACCOUNT #../J{)&dth06
OLD METER
NEW MI: II:R.
Ser. No.
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Digits....
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Reg.No.
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Size .J
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MIUSer. No. Do~~-qOl.../6()
MIU Phone#
Bldg. Type:
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. Port 1
RPZ Installed Yes _ No _
RPZ Ser. No.
Service Size
"If lYpe
Ground Yes ----' No_
Lead_ Copper_ Iron Pipe_
Comments:
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Please keep this receipt for your records. The final reading from your old water meter
will be used In determining your next regular bill.
Ii you have any questions or problems, please contact the Water Department during
normal working hours. Thank you for your cooperation.
INSTALLATION ACCEPTABLE. WATER MI: II:R SEAL WIRE IN PLACE.
OCCUPANT'S SIGNATURE
DATE
From 80080 (4-93)
PHONE
Copy 2'WS
Copy 1 Cwlomer
Copy3&4WD
New Meter Installation Request Form
Date
7/-2/ /{)j
, -
Time
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Account (JO &cltJ()!)' './
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Meter size
Meter SIN
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MTU#
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Check the following:
Flow
Meter seal Y
Main on
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