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Meter Installation Inspection Request Form
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This form has been modified since it was saved. Please review all fields before submitting.
Water Service Information
Service Address
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Address, City, State, Zip
Meter Number:
*
Applicant Information
Company Requesting Inspection
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Contact Person:
*
Phone:
Mailing Address
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Address, City, State, Zip
Fax
Acknowledgement and Signature
I understand that the water meter setting inspection will take place within five (5) working days prior to having the Certificate of Occupancy (CO) inspection. If the inspection fails, repairs will be made by the City and all cost will be charged to the water service account (per Ordinance 51.04F). All inspections will take place within one (1) working day of request. All information must be filled in.
Signature of Authorized Agent:
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Date
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Date
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