HomeMy WebLinkAboutWater Meter
I I
METER(S) PERMIT
- ""--1;}- a
c:: - - (1
Date .?-~.- 1(/
Name of Owner~'\;'-\v ~,\J~L_.01>f'i\t0~
Address of Owner
Meter Installed At / S S-O
3(t(
~ I
, 11LI'iY/1- Y
(T
Meter(s) Size
Meter(s) Use
-fJ
\l\
tDiaqram of Use)
Meter will be installed and used according to the above information,
------~ ~ . . \
. d-o ,\ . ~ ~._-' - I\V' ;,--_._..r>c:.~ I
~-f-\'U. t_:_~.~:~j_. \/ f+ j 1 E/c--::;> ~(.,,1 j
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.