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HomeMy WebLinkAboutWater Meter METER(S) PERMIT Date < / I ? li-; '/ Name of Owner .., /-1",,1/:/.,.4 'If ///(7'''.1-'1 ~/-I/r7t.::::..:- Address of Owner ) n 7C //1// ,"; ,s,u ,PI j.j./ (:'"" Meter Installed At / .t"... -'7 t{: 1-1- lJ ~ T/S;, " ,y / ).! /' ," . Meter(s) Size :). if '-/CI Meter (s) Use 17/_-=< 11')I..;:s-.~'7.1^1 i)!~ 1 n II?'UTrc,t<. l I '1/ f I (I ' /_..~' //~~ I'f____,~'~. t p, Cd,;l ~. /~t-I' ,( (f/'....1..3 :.. CO; ,/ U I (' c' ('Diagram of Use) Meter will be installed and used according to the above information, /j......,,"', // , j' _';r~:;~~d;~~9 ~'. [:1 // Owner or Agent ,;:t.- . ~. (: ,~{ {"'<" To Water Utility: Requirements have been met to purchase and install meter(s) at the above address for size and use indicated. ~ PI umbing Insp'ector