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METER (S) PERMIT
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Address of OWner -+t"V' ,~'A' A~~ ~
Meter Installed At fIB "'-:s7; _. .: L.~f!,.. ~. >- '"
Name of Owner
Meter(s) Size
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Meter (s) Use
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Meter will be installed and used according to the above information,
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- /" fOWner ft""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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