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METER (S) PERMIT
Date
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Name of owner
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Address of owner
Meter(s) Size
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Meter Installed At
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Meter (s) Use
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tDiaqram of Use)
Meter will be installed and ~sed according to the above information,
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\ oymer 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