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METER{S) PERMIT
Date
Name of Owner
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Address of Owner
Meter Installed At
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Meter(s) Size
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Meter(s) Use
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(Diagram of Use)
Meter will be installed and used according to the ab.ove
information,
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Owner or Agent
To Water Utility: Requirements have been met to purcha e
and install meter(s) at the above address for size and se
indicated.
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