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METER(S) PERMIT
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Address of Owner S3 8 0 I!v/y' / /~
Meter Installed At :5'09 Ø¿~s7 -1Z!f /1¿/.
Meter(s) Size ~4'"' PZS-
Name of Owner
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Meter(s) Use
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(Diagram of Use)
. Meter will be installed and used according to the above
information,
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OWner or Agent
To Water Utility: Requirements have been met to purchase
and install rneter(s) at the above address for size and use
indicated.
p~g Inspector