HomeMy WebLinkAboutWater Meter Permit
METER(S) PERMIT
Date
I
I /.17/'//;1'
, '
! '
, /
Name of Owner
-......-.
;
.:::;"..<t
f\-,r-,
t..........'....<"'~v.......e.,....~
Address of Owner
Meter(s) Use
'1 . ., I 1:.,"-
,,;.~.:., , /
$/4
,
,;'/ "Ii . f
%. (Cr;~"l.__" ,/'
, I '; ../.
N'<,~ J~
Meter Installed At
Meter (s) Size
r
(
I ;1
(_ . I I
- -..~~..~ I
1 I f
r-~
I I t
I I
"..,....--
I "..----"- ('Diagram of Use)
J ---'"
-'t1y--..
'Meter will be installed and used according to the above information,
"
"'/
\\n
.~ ~- ~:
';'''1
~~~'~\ or Agent
.,
'''',J
\ i '
'- ....7>V"'~~~'-~i
[d".....:....... ,
\ ",
To Water Utility: Requirements have been met to purchase and
install meter(s) at the above address for size and use indicated.
~:~_....~--:::.~">" ^'-~-'--"--""'''~'......."
,.~ . ~/ A/ I /
/,< .'. .."' ._.1.:<' ,/ .~/'. ./ .Y ,
// """"~" .,. ,./~ ".. ~: ""c
Plumbing Inspector