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METER (8) PERMIT
Date ,/0/;1/ l' .~
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Name of Owner J \ VV\ ~ '. . A c- K P:- rL (ov .5
Address of Owner 2. Z ( PPl Pl. k S T
Meter Installed At [ 11 s.l_",_""L2~__
Meter(s) Size' . i)tl ,/',~(>s:v~/ 25
Meter (s) Use ~1'):''7/' r' ;;rf- ~
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(Diagram of Use)
Meter will be installed
informa tion, _
o the above
OWner or Agent
--------~'_.
To Water Utility: Requirements have been m~t to purchase
and install meter(s) at the above address for size and use
indicated.
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