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METER(S) PERMIT
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Name of OWner .j;;" ell/I" 5 ~4/:>r- Gf7 f
Address of Owner . L/o6 w. S,. tPAkjJ AclL
Meter Installed At ,13{J{Q W~ C./-.
Meter(s) Size '5/SI~ /J1l5dr / 2~
Meter(s) Use ?or6b/p kJ~re/2- Sv,./jP/)/
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('Diagram of Use)
Meter will be installed and used according to the above information,
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(; tJwner or Agent
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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Plumbing Inspector