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METER(S) PERMIT
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Met~r(s) Size
Name of Owner :r: >-- C,'/. t" s. 6'\1:; f. G.
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Meter Installed At I -:2 7 Q tJdWL<J/r; 'C1.
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Address of Owner
Meter (s) Use'
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Meter will be installed and used accordi~9' to the above
information, .
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pwn.A.r or Agent
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To Water Utility: Requirements have be~n met to purchase
and install meter(s) at the above address for size and use
indicated..
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