HomeMy WebLinkAboutWater Meter METER(S) PERMIT
Dat
Y
Name of Owner L2
Address Of Owner /456 / � &- (/Yw - Ace.,Q 16K
Meter Installed At /f 1:; 2 )<
Meter(s) Size 4"
Meter(s) Use Ae4
•
/ 1L
CDiagram 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.
/6/14%/Z CJO
Plumbing Inspec or
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