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METER(S) PERMIT
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Name of Owner
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Address of Owner/ j; 6::/.' r-' {,.., /? C A./ /J 11 l) ,L /.;
Meter Installed At
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Meter(s) Size
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Meter(s) Use
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Meter will be installed and used ac~ording to the above information,
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~ OWner o 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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/ Pumbing Inspector
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