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HomeMy WebLinkAboutWater Meter l",$'iIm METER(S) PERMIT ~ ':/ Date ~~.1 , Name of Owner /} >, I .,~. ,I, ....J /I,,,,, 1../ o.';c ~ . ."..' ' F ,""',,,F i'''''''' "", .,' .;",'(-, ;t~i..../r It:> l~,: / ",.; Address of Owner I'" /' ;""",,' lyj~ ,(; "'1' . / I ,~. , "1,_1.''':: {"j ~.,..... ~,' "f "'" Meter Installed At .r. ~,.~ /} 1',d1' ~/;~~ Meter(s) Size ,i "'- ~;,,:"'1-. J !'l" ,."'" ;;"""'''''''''''' $.. , Meter (s) Use ,...~ ,C' ,t::"t,,"" I l {J /{'il",.' '; ~T'o v {:' ;t" t' I I f I ' f ! I ' ('Diagram of Use) Meter will be installed and used according to the above information, 4 ,$' ! :r)11 ~71 (l~-#,)~/\":.t~./ J ,,~(;t, f f l {> f' . ~< if,; v' (:,,:t l >l ,,,.() O';N"t'ler Qr, Agent "l ~." ..'~ 1"""1"1//7 -,,; /r--,y, . ~~"";W"~}f1l'*". <~, . /\. ,,;;', _'_ r ~ .J .".' L .>;.<;,J 4, ,~",,'i"/' ";,,.r'C,. ,c{/' Y .l ,,,,"""'r,~'l.,.,,,,, ~""~" ~.<-!'~""!I ~." " ~-./ . ",'~"Jf;;", To Water Utility: Requirements have been met to purchase and ins tall meter (s) at the above address for, size and use indicated. 7..'.............. ./ .-;/" '\ ./" ~~0~"J~/ ) Plumbing Inspector