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METER(S) PERMIT
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Address of Owner
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.Name of OWner
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Meter Installed At , ')Ct/?r18
Meter(s) Size 3/y /II/)(/,o( 11 ~
Meter(s) Use ~5; ;d';P/1{;o!
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Meter will be installed and used according to the above information,
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Owner or
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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