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METER(S) PERMIT
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Name of OWner :10'01 RU5- e,A , ' j)
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Address of OWner ~/ j71"..//J-:''-O-') t, j i-q .
Meter Installed At 'Jif/'f :;/0 ~C~ - jJX,
Meter(s) Size 7fj~1}17~f/'1 . If ':l~ ,
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Meter (s) Use fI 'o//<1~t_t. t<l,~{R/\'/
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(Diagram of Use)
Meter will be installed and used according to the above information,
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Owner or Agent
To Water Utility: Requirements have been met to purchase and
install meter(s) at the above address for size and use indicated.
plumbing Inspector