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Name of OWner .,l .l/(j...;."J;;M:
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METER(S)
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PE~MIT
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Meter Installed At
Meter(s) Size
Meter(s) Use
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to the above information, '
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Meter will be installed and used acc~Fding
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to purchase a~ld
and use indicated.
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Inspector I
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To Water Utility: Requirements have/been-'it\et
install meter (s) at the above address for s'ize
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