HomeMy WebLinkAbout15221 63rd Street N Water Meter Installation and Final Inspection
Date/Time: 7—3o 1 Z
Location: /5 ZZ i g t`t 5}ted- ►Li•
Contractor: POJC I , elow.U'^9
Contact: del c y (,(1. � ? Y - ( 'u
Water Line Material and Size:
#of meters and Use: 1 45f 5;cLi•. c U 5k
Meter Serial Number(s): 13 (v 8 11 o
Meter ECR Number(s): 110 4 ci 8 4 a
Radio Number: /SR, 6 3 02ci
Hydrostatic Pressure Test: /Fail/NA Port,18106329 Date06/12
MXU ID M510R-C1-3W-X-AL
Disinfection: Pass/Fail/� IIIIIIII IIII IIIII II III
Are Meter Easily Accessible-8/N
Type of Valve Installed Before Meter(s):
r
Type of Valve Installed After Meter: t7 .0
Meter(s) Installed in proper direction:(J/N Meter >12" above Floord/N
Electric Bonding Around Meter: Y/ /A
Radio Installed and Tested:DN
Order 0017 8106 Line: 002
Check Plumbing for Cross Connections and Backflow Preventers: Date: 1011 III IIIIIIIIIIIIII IIIII
Part No: 5756596461056?
Desc: MTR 3/48 SRI=
Sketch building and meter location. ==ADM-810006 LTP
4V" a--Q r Senses III IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
t31J t � , , ;� c- J Ate`_-rot Meter 8N: 73682708
F1ow: IIIIIIIII IIIIIIIIIIIIIIIIIII
Low: 099.2 Mid:100.5 Hi:099.5
Register III IIIIIIIIIIIIIIIIIII
oust iD: 71049848
Public Works Observer Name and Date: ° 7/i. - Register 71049848
Notes: t.0 vI 43 Fait zD:
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TREE CITY U.S.A.