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METER (S) PERMIT
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Name of Owner t1-0l...' D\k~ 110'0
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Address of Owner ..;;;;)'.-''-,.,dJ ...:;:;. . . 0 c;;~ E"---
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Meter(s) Size
Meter (s) Use 1)0 v'A \=:~'T Ie' S l.JtP PL \/
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(Diagram of Use)
Meter will be
information, .
installed and used accordi~9 to the above
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Agent
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'''.'_J''---) OWner , or
To Water Utility: Requirements have been met to purchase
and install meter(s) at the above address for size/and use
indicated. . . ~/ r%~,/
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. 'Plumbing Inspector