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METER(S) PERMIT
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Name of Owner
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Address of Owner
Meter (s) Si ze
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Meter Installed At
Meter (s) Use
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Meter will be
installed and used
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according to the
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"or Agent
,
above information,
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