HomeMy WebLinkAboutWater Meter Permit
METER(S) PERMIT
.-: I 1
Date ~./:.? 6./9.:>-
Name of Owner
'<':~"'~}
if 1 l'
,jf,)' (';},It''~f..,
i' "',1"'" 'i '"
"'. I -""<'i!< "
<--,~', ,. ~"..;.,,::t',
'''''.>j.~ .~~~'^
" '"
,if't'ii;'!!'iIW .rf .~,
~~;?'~~ r"~'~b#'" l' LJ"P
:2-
Address of Owner
Meter Installed At
t~:~~t ,,"''; ;1r:~'"
..
;Q~\1'1.fi'\~",~Jj,~~;~~x..~" /-1
Meter (s) Size
Meter (8) Use
/.;:~;\<,'~~-4~r"":;, l,:ft....~~;.,;...o(, f~!:~;
J'
(Diagram of Use)
-
Meter will be installed and used according to the above information,
i'
""';"".#\
",,,":,;,,,,i<:',,,,., 0A~';i )';;t!:~_, ,
,
",i':...' do ~/,,'" ....,..~ ~,"" q~~ !d~""",~f,,,.4'I'~
Owner or M1e~t
/
To Water Utility: Requirements have been met to purchase and
install meter(s) at the above address for size and use indicated.
Inspector
ft1..t,