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METER(S) PERMIT
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Name of Owner ,I --It'':'''l.--LCv~..-A. 0'-'t-(.>-r;../J2/1.A-
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rasa 0 Owner ..) /I..J !....,w..---'vcx:A.A.!JtK.
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Meter Installed At / ;)'7~; )f./--t/LC-v\ C;t ,
Meter (8) Size . % A B~;.(1:~~t. /i10-litJ dI )
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Meter (s) Use /:)07,\.-C4:-tt-G-J
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(Diagram of Use)
Meter will be installed and used accord:l~g to the above
information, .
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OWner or 1\.gent
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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J.n9 Inspector