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Date
Time
Account
Name
Address
Account #
Meter Size
Meter SIN
MTU Installation Request Form
THURSDAY, JULY 5, 2007
8:00 AM
JEFF SWENSON
3654 WILLOW BEACH ST SW
00251600
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MTU# ,~/6o 1-'1/4-
Check the
Following:
V Flow
Y Meter Seal
V Main On
Comments: SOMEONE FROM MATTHEW
DANIELS PLUMBING WILL BE
THERE. 651-423-3730
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Installed By: 7 r
I
JUL - 5 2007
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ACCOUNT# f}tJd5I(c~
OLD METER
NEW METER
Ser. No.
ZS090/J5
/
77JB6~oB
Ser. No.
Digits
Readin~ 9 l/t.jl./s-:o v\.
MIU Ser, No, S1hl31
I
Reg.No.
Size .5/~,- 'All{/(
MIU Phone#
Bldg, Type:
Port 1
2
RPZ Installed Yes No
Service Size 3/L/ If
Ground Y~s ~
RPZ Ser. No.
"t
Type_
lead ~& Iron Pipe_
Comments:
.
~YJJ 1'1
Please keep this receipt for your records. The final reading from your old water meter
will be used in determining your next regular bill.
If you have any questions or problems, please contact the Water Department during
normal working hours. Thank you for your cooperation.
INSTAllATION ACCEPT.~ABLE. WATER METER SEAL WIRE IN PLACE.
OCCUPANTS SIGNATURE ll.....-
- "
DATE~2- 2(;,-0? ," PHONE-
From 90080 (4-93) Copy 1 Customer Copy 2 WS Copy 3 & 4 WD
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