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5847 Oakgreen Ct.
Water Meter Installation and Final Inspection Date/Time: "-c/7 47v 5'f" J' Zc i Location: 5 (4"1 ©a Contractor: 5-/-41“---f A/n4/11 Contact: Ole o'5 S y ) 6 5-1 41/ 57 Si Water Line Material and Size: /17. t� #of meters and Use: I C.1fiubs L Meter Serial Number(s): (11 10(,9 Cj Meter ECR Number(s): 5 3 9`7 Radio Number: l)©2 I I Hydrostatic Pressure Test: Pass/Fail Disinfection: Pass/Fail Are Meter Easily Accessible/N Type of Valve Installed Before Meter(s): �f Type of Valve Installed After Meter: Meter(s)Installed in proper direction:6/N Meter >12" above Floor: Y/N Electric Bonding Around Meter: Y/N Radio Installed and Tested:1 /N Irder: 00834529 Line: 003 Check Plumbing for Cross Connections and Backflow Preventers: Date: 0507 111111111111111111111 ?art No: 5750696461073A Port 1 M51OR-C1-3W-X-AL MXU ID:18021381 Date lam Desc: MTR 3/4 SRII Sketch building and meter location. 1111111111111111111111 RCRDM-S1000G LTP deter III IIIIIIIIIIIIIIIIIIIIIIIIIIIII ID: 67770649 Flow: 111111111111111111111111111 Low:099.7 Mid:101.2 Hi:099.6 Cue tI D: III IIIIIIIIIJIIIIIIIIIIIIIIII 1111 61653972 Public Works Observer Name and Date: FactiD: 61653972 Notes: config: ®® ®®,0 0 0.0 Share/PublicWorks/Forms/Meter Installation TREE CITY U.S.A.