HomeMy WebLinkAboutWater Meter - 12/05/1995 METER(S) PERMIT
Date / S
Name of Owner 6 ®` /7
Address of Owner /
Meter Installed At S/‘ 9 ie // A/e�( e
„
Meter(s) Size
Meter(s) Use •
atx/ e
•
(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