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METER(S) PERMIT
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Name of
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Address of Owner
Meter Installed At
Meter(s) Size
Meter(s) Use
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Meter will be
('DiagI;:am of Use)
installed an~~~d according ~the above
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( Owner or Agent
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