HomeMy WebLinkAboutWater Meter
-: .<
':; f.~
Name of;)pwner\~n,~ C-:/~'(~5' Cl~o('r G
Address of Ow1\er 'f4;; (; i.U, , _<::;" n{2~"v''- 4AJ1J:
Meter Ins~alle~ At 1:1 515""" d~{) 0 /,~) d,
:~( .
Met~r (8) S,ize ,1 s/~/ q rJ)o Gf:ee ;;2:;-
\i2{)-fc, b 4?- !41;q ;t: elL (t--f'-f ~
'~
\
7'i
;,
.,
i
'-r
,t
./
i
.-
~
1
,
Meter(s) USe
II
I c) flf.~
, V r!
~
,~~
I
;,
f
l
1,
~
1
j:
~
'if
1
METER (S) PERMIT
(' )--
Date_)~::-pr L->/ /9ft?
'i
\
...;.,;..----.
/<
/ '
G-t:-~~-'~I
\
\
'"
\
'-
. \
\\
\'." \.
\\
\ \
~, *'
_.~. - ..-- ....- ';I; I
-- H:J
~"~ f.-...l
~
17 c.?
I
!
J
-,
S /9 ;v
ni~T& d.
l'~ ...
t . \Vv1t-v-c./ .
- . (DJ.agram of Use)
Met.er will be installed and. used according to the above
information, .
To Water Utility: Requirements have be~n met to purchase
and install meter (s) at the above addres.s for size and use
indicated..
~:/ ~. ~._/7
_ / . '..L:~ ~.~. . ~cx.-
-. pl'Umfb.ng Inspector
~