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METER (S)
Name of Owner
Address of OWner
Meter Installed At 0
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Meter(s) Size
Meter(s) Use
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Meter will be installed and used according to the above information,
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wne or Ageni:
To Water Utility: Requirements have been qlett,to purchase and
install meter(s) at the above address for ~ize and use indicated.
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Plumbing Inspector
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