Sonic Addition-WO 940623 WATER UTILITIES DEPARTMENT
Meter Inspection
Employee Making Inspection: ~__~_~4, L77~ Date:
Name of D evelo~__~"')~
/ /
Set Up Account For:
Address:
Meter
Meter Type:
Model:
SiRe:
Vault:
Meter Number:
Location:~
BOX:
Inspection
Comments: )~
Backflow Device (If Applicable)
Type: Y
Mod e 1 :~_
Numt,er:~
Inspection Comments
Serial