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METER(S) PERMIT
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Name of Owner
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Address of Owner
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Meter Installed
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Meter(s) Size
Meter(s) Use
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(Diagram of Use)
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and ~d according to
J~-~ LLl,(
~ner or Agent
the above information.
Meter will be installed
To Water Utility: Requirements have been met to purchase and
install meter(s) at the above address for size and use indicated.
Plumbing Inspector