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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
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Meter(s) Use
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Meter (s) Size
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Meter will be installed
and u~d accordin~~ the above information,
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Owner or Agent
To Water Utility: Requiremehts have been met to purchase and
install meter(s) at the above address for s~ze and use indicated.
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