HomeMy WebLinkAboutWater Meter - 10/20/1995 METER(S) PERMIT
Date / d - , ?C - Y5
Name of Owner /
Address of Owner
Meter Installed At 3 / 1 "...5 — Age/./ �
34'
Meter(s) Size !! ,�
Meter (s) Use /%7e
g/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.
/,
( ) 1/
Plumbing Inspector