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METER(S) PERMIT
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Name of Owner C~"l6Ô-- of- t- ~7«.::;),
Address of Owner t:l,-?;',¡,c:;'-'T'?/31;/;?:.'r-;~
Meter Installed At>':::?':"'. /;'.(:/-~ p -,$/--
Meter(s) Size ;?(y- N n.'(i-Á' / ,;'2:5--
Meter(s) Use ~1 ':/:; '-Î'?e;;}-¡c
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(Diagram of Use)
Meter will be installed and used according to the above information,
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v Owner or Agent
To Water Utility: Requirements have been met to purchase and
installmeter(s) at the above address for size and use indicated.
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) Plumbing Inspector