HomeMy WebLinkAboutWater Meter - 12/28 NiETER(S) PERMI T
Date � � �'�
I�ame of Owner �.<- ����. � �t..)
Add res s o f Owne r �v � � . �-�J '�'�'-��"'�` �r� �,,,
Meter Installed At �� �c� . �'�IZ.� i��.
Meter(s) Size ���
Mzte r(s) Use ��-- ��- 1� � =�
� !- �,�.
�
�
� � � �
� � � w - ��
� .r � 2 �_ � __��__.____Sf� �
� �
�
� �
�� �
� �
(�Diagram of Use)
Meter will be installed and used according to the above information,
'��.�.✓ 1ti.it--t�
Owner or Agen ...
To Water Utility: Requirements have been met to purchase and
install meter(s) at the above address for size and use indicated.
��
Plumbing I pe or