HomeMy WebLinkAbout0000000-1977 (new house)
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ADDRESS
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2107 H~m11tbn st~Aet
ZONE
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OLD ADDRESS
DATE TYPE
NATURE OF WORK
New House with
OWNER
CONTRACTOR
VALUATION
5-31-7
t .Ie . '7 7
B
Mobile
Ie
000- ",-d
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METER(S) PERMIT
Date (t (.2a i /f27
Name of Owner % a-
Address of Owner
Alif17-11et 871}
Meter Installed At )1/4/ M '7 /4111
Meter (s) Size Va4e/.? W /J/1
Meter (s) Use / 9'"[�_ !
Pt ! �j '' Sa u Sr
(Diagram of Use)
Meter will be installed and used according to the above
N.
information,
)1!)./-1 ' 11
U` ��Z 1
n
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.
Jt,a 4
�/ Plumbing Inspector`'d