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METER(S) PERMIT
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Name of OWner ~6'6eT -I-~~c Ii
Address of Owner /'/// ~1/ll:!'/jOOL/
Meter Installed At /'1// (7;;/ltoV'7"d'
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Meter(s) Size
Meter(s) Use
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('Diagram of Use)
Meter will be
information,
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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Plumbing Inspector