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METER (S) PERMIT
Date 8-S--84
Name of Owner (~II/~ S-/ne~7-_
Address of Owner e:/O ~ ~ /fr c' ~ ov-y
Meter Installed At ZL:73'S hCeD,,-e~ CA;v6"'
Meter (s) Size ~,r # Zs-
Meter(s) Use
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(Diagram of Use)
Meter will be installed and used accordi~g to the above
information, .
~~od
owner or ~gent
./
To Water Utility: Requirements have bee.n met to purchase
and install meter(s) at the above address for size and use
indicated.
I'nspector: