HomeMy WebLinkAboutWater Meter
Name of Owner
Address of Owner
METER(S) PERMIT
Da te //- 'j)..-..f ("
(;' ,/) f-"46-1:: t 4 I?V Sel-l
Meter Installed At
Mete r (s) Si ze ::.lr'/
if")--
) .,~'. . J
C'J?? Ie'
. ,
, ) ~~,-', ,--
v.."/,":..",, ~ ~
Meter (s) Use
.,.........) , .. /'
\,. / i-) ,/"It, t:- T "'/1 C
l"lll ':,,0 r L.
:> )-'
I
I
J
I
Ili~
C I f;~;;;r;;::
('Diagram of Use)
\ .1"'\ "",,1, /'/'/1 It' '-"
-' ii, " f
".'Olf' "
{-;>? r? 6 C
Meter will be installed and used according to the above information,
/7 /l < +z. /1----
'-..... ?'-A<.... l0~/(.;.G~d
Owner or Agent
To Water Utility: Requirements have been met to purchase and
install meter(s) at the above address for size and use indicated.
L.---;;:-~
7' /, ~
~,< j/~(7V/
// Plumbing Inspector