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METER(S) PERMIT
Date
5/219"
Name of OWner ~ ~/74,f ~S~
Address of Owner /s/h6.tJ S;v/Zf}.~ ~~
Meter Installed At Lol- 9'0 J Car ~ 7; ~
3 II
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Meter (s) Size
Meter (s) Use
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B Cl J,"q :#~~ Jill ~141'
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70 t4"J-t;~y {tIJ#"
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("Diagram of Use)
Meter will be installed and used according to the above information,
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f // . OWne# gent
To Water Ut~lity: Requirements have been met to purchas~ and
install rneter(s) at the above address for size and use indicated.
Plumbing Inspector