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HomeMy WebLinkAbout13856 Upper 58th Street N Water Meter Installation and Final Inspection Date/Time: (yiI A// ( 2. O v Location: 13 ef(s L'PP€f c - S+- ti' Contractor: T,°,.-, tic,) Contact: 8 // S1 -,.,,, Water Line Material and Size: 3/9 r I e.°199-1-4. /1 f 0i4- c / P(X #of meters and Use: I Meter Serial Number(s): 7 3 Vb (9-7(0 0 Meter ECR Number(s): I f 0 L 9 T?50 Radio Number: /CC /66./D _ Port M5'IOR-C'1-3W-X-AL MXU ID:18016610 Date:oa,i-i Hydrostatic Pressure Test: ass Fail/NA imam Disinfection: ass Fail/NA Are Meter Easily Accessible: I■/N Type of Valve Installed Before Meter(s): gcu.L .4)-0-bt- Type of Valve Installed After Meter: /, W .4P-GU t Q Meter(s) Installed in proper direction: &N Meter >12" above Floor Y'N Order: 00178106 Line: 002 Electric Bonding Around Meter: j/N Date: 1011 III IIIIII11111111 II III Part Radio Installed and Tested.�Y/N r,, P rt No: 5756596461056A Check Plumbing for Cross Connections and Backflow Preventers: Desc: MTR 3/49 SRI' RCRDM-3100001 LTP census IIIIIIIIIIIIIIIIIIIIIIIIINIII IIII Meter SN: 73682710 Sketch building and meter location. a-,tt —44/iA-69 1 Flow: 111111 IIIII IIII.III III IIII III. Low: 099.1 Mid:1006 Hi;0992 egster CRusti i ID: IIIIIIIIIIIIIIIIIIIIII 71049880 Register Fact ID;D: Config: ®,®®®,❑0❑.❑ Public Works O server Name and Date: _.,∎,/,' A / A,I 1 IAA, . / ----44,...4 _ 31-2 1�� =- G G ,-∎ Notes: ' > / Share/PublicWorks/Forms/Meter Installation TREE CITY U.S.A.