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METER(S) PERMIT
Date' 6 - /)~ 86
Name of
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Address
Meter Installed At /~
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Meter(s) Size
Meter(s) Use
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(Diagram of Use)
Meter will be installed and used accordi~g to the above
information, .
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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.