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METER(S) PERMIT
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Meter Installed At;/ .' (;' ....1
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Name of OWner
Address
Meter(s) Size
Meter (s) Use 5'/7q/e
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Meter will be installed and used according to the above information,
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Ownet or Agent
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To Water Utility: Requirements have been met to purchase and
install meter(s) at the above address for s-1- ze and use indicated.
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/ ') pi u~bing Inspector