HomeMy WebLinkAbout0000000-1967 to 1977
ADDRESS' 9 / ::.~~J~t!-7
OLD ADDRESS '1'/ q q.
ZONE ~,~.
DA TE TYPE
'8-J/-~l
NATURE OF WORK
OWNER
CONTRACTOR.
. VALUATION,
00
.....3 .
7.
METER(S) PERMIT
Date
I
Name of Owner
Address of Owner
Meter Installed At
Meter (s) Size
Meter (s) Use
(Diagram of Use)
Meter will be installed and used according to the above
information,
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.
Plumbing Inspector