Creekview E21P-WO 931025 (2) WATER UTILITIES ]]EPARI~ENT
Meter Inspection
Employee Making Inspection: __~~x_ Date: / /
Name of Development
Co~tractor:
Set Up Account For:
Address:
Meter
Meter Type:
Model:
Vault: Box;
Meter N~ber:
Inspection.Comments: ~
Backflow Deyice (If ApplicaBle)
Type: Jz
Model:--/
Size :' ~
Vault: ~Box
Ins.pection Comments
J Serial
Number:~'/