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METER(S) PERMIT
Date
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Name of Owner
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Address of Owner
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Meter Installed At / LI If, - /'6' - d D -¡)J - oi'l
Meter(s) Size
Meter(s) Use
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Meter will be
installed and used
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according to the above information,
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, Owner or Agent
To Water Utility: Requirements have been met to purchase and
install meter(s) at the above address for size and use indicated.
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'Pl umbing Inspector