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HomeMy WebLinkAboutWater Meter New Meter Installation Request Form Date (Plld-!03 Time Q YLLJ -tz ~ , . Account Name ~fz/ll.LJJ (bmU{L o/,{)l)O{)6 X . . Address /'-/&;61 LIJiu.fL Jf1Ll ~ A/tJ Account # !)()kd3CCO " Meter size I If ~ Yep / (,VYJa2 I Meter SIN "13 7 z-l/-o L / J( MTU# oc>f7 () ~g 7 Check the following: Flow X Meter seal J Main on y/ Comments_rxuj{.- 4-- ()/rlc deers W-u !JJLLO~cL L'Co../K 5 15o/7;n 'ofL '- ~~~~ ..-flU ~~ P/1Yg- ?~3'lh/7-7M6 ~~ o?t tlt1\ J]}J!J Installed by F.? C )~) J3