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METER(S) PERMIT
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Name of Owner
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Address of Owner
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Meter Installed At S>~,;.,:~,.
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Meter(s) Size:'/t.j
Meter (s) Use
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Meter will be installed and used according to the above information,
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OWne-)' ~ori Aqent
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To Water Utility: Requirements have been met to purchase and
install meter (5) at the above address for! size and use indicated.
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,.) Plumbing'Ins~ector
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