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METER (5) PERMIT
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Name of OWner \. _ t:...(~ i~C '-( \, \..\"")"1:"' .
Address of OWner ----\:=> Cj. . T?>., y -::<) \ '-"l
Meter Installed At
Meter(s) Size 3,/.\
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Meter (s)
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Use .... /'... !'--\ \\ ('<T' '""\"'
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Meter will be installed and used according 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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Plumbing Inspector