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METER(S) PERM!T
Date 9-;;2 :5 - f-1
Name of Owner ~,ee,;eT V- g j;
Address of Owner / r d'r $:, t:::J/l"l:'mcra
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Meter Installed At' _~.17A/?t:;-
Meter(s) Size ~~~
Meter(s) Use ~/77?y;l.) c..
~J j)ol'7JE51" L
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$/9~ /77212'1
Meter will be installed
fUse)
information,
To Water Utility: Requirements have been met to purchase and
install meter(s) at the above address for size and use indicated.
Plumbing Inspector