PLA

PETERS TOWNSHIP SANITARY AUTHORITY
DEDUCT METER APPLICATION - NEW OWNER

Application Fee $40.00
PROPERTY OWNER*
DATE*

MonthDayYear
Date
SERVICE ADDRESS*
PHONE NO*
Format: (000) 000-0000.
EMAIL*
example@example.com
MANUFACTURER
Not required unless there was a change.
METER TYPE
Not required unless there was a change.
METER SIZE
Not required unless there was a change.
METER SERIAL NO
Not required unless there was a change.
REMOTE SERIAL NO
Not required unless there was a change.
METER LOCATION
REMOTE LOCATION
PLUMBLING FIXTURE CONNECTED:
Example sprinkler pool exterior hose bibs
The Applicant is requesting permission to install/activate a deduct water meter and exterior remote reader. The Applicant agrees to abide by the Authorities Rules and Regulations (obtain copy online or at office) pertaining to the Deduct Meter. The exterior remote must be a manual remote and be placed in a safe, readily-accessible location.

To Activate a Deactivated meter - Submit application and fee, and contact this office to schedule an inspection.

NO CREDIT WILL BE ISSUED UNTIL THE METER IS INSPECTED AND SEALED BY PETERS TOWNSHIP SANITARY AUTHORITY PERSONNEL.
Property Owner Signature or Initials*

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DEDUCT METER APPLICATION - NEW OWNER