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METER (S) PERMIT
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Name of Owner l r:::1J ) piC ,,;r:':L/r:./ L:I)n'\r::, ,(Jr---
Address of Owner
Meter Installed At
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Meter(s) Size
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Meter (s ) Use
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("Diaqram of Use)
Meter will be installed and used according to the above information,
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OWner or Agent
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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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