Villages C PW-WO 911202Employee Making Ins~
Name of Development~ __]LJa~J_~__~ ,o ~__ ,;,~--~z
Set Up Account For: ___
Address:
Meter Inspecgion ~
/ /
Meter ___~
Meter Type: FCCi~[~
Vault: Box:
Backrlf~ Device
Type: ~__
M?del :~
Size: ~x
(If Applicable)
Inspection Comments