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METER (5) PERMIT
Date /ojJO/?? 7
.
Name of Owner W~ I'J~~'. .
Address of OWner ;31)3 ~1?~ ~
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Meter Installed At . /.,' . ~~ ~
3^ If
Meter(s) Size Y
V~
Meter (s) Use
D~
('Diagram of Use)
Meter will be
installed and used according
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to the above information,
OWner or Agent
To Water Utility: Requirements have been met to purchase and
install meter(s) at the above address for size and use indicated.
Plumbing Inspector