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METER (5) PERMIT
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Name of OWner
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Address of Owner
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Meter Installed At ' ~"/&/,
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Meter(s) Size
Meter (s) Use
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Meter will be
installed and ~.ed,,,.acc:ording to the above information,
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, 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.
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