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METER{S) PERMIT
Date
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Name of Owner
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Address of Owner
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Meter Installed At I', C
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Meter{s) Size 01
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Meter(s) Use
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Meter will be installed and used according to the above information,
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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