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METER(S) PERMIT
Date
9-
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Name of OWner FO 'lC. (~J,I-; fi'~ (:erri ~.T.
Address of Owner .S?> v +-1.. ,.~:gf Ie Hv'.f ('10,t kv ~4..
Meter Installed At / r).t.' '\"" /-;~t/tJlt (" ~
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Meter (s) Size /<. ~.e.<:!/Cyer" /1' '("(, I"' ;,).~
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Meter(s) Use ..T::bl"'\.P<;~1Ii (Lit'V
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Meter will be installed
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and used according to the above information,
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/))wner gr (5'gent
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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.
Inspector
frVL.