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METER(S) PERMIT
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Date 51-;L 7-- 7f
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Name of Owner' ~ C"/,/[; (:JS 0,1/'> 7~,
Address of Owner. ~o 6' Lc/; S'- ~/(. L Af/C
M~ter Installed At - /;;"3 0 7:~ /fJ.-(/ ^" c /1-"
Meter (s) Size . ~/~~' <:. 1f1u /t:.-/ ';-5'
Meter(s) Use /-i:7~ 64 h''''rl'r<- S7!!:?
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~ $9/1./ S'~1
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Met.er will be installed and used according to the above
information,
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Oo~eror Agent
To Water Utility: Requiretnentshave been met. to purchase
and install rneter(s) at the above address for size and use
indicated.