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METER(S) PERMIT
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Name of OWner .I () 1-1 Lt.-) Ý n 4,)
Address of OWner ,; (!--,If f., ¡;:" H/ ,) f)1! L /1 C
Meter Installed At
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Meter(s) Use
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Meter(s) Size
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('Diagram of Use)
Meter will be installed and used according to the above information,
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v ner 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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PI umbing Inspector
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