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METER(S) PERMIT
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Name of Owner -I:?x {_, /",// e r (0 /u <'., I: G
Address of Owner !//J ( u../ " Sov/ftJ l~ t< t AVE:
Meter Installed At / /,2 / r 'f./L-I' ki f.uV tel
Meter(s) Size . 3~(/ "f /}?6f!JJ! ~_S- .
Meter(s) Use Po T'o hie (.{)/J'rc,/Z. :;;'1/10 I y
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Meter will be installed and used accordi~g to the above
informa tion, .
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I - ii' OwJl~r or Agent
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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.
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