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METER(S) PERMIT
Date 30 G??rtt f9
Name of OWner t.1~ ~~~6: J
Address of OWner 1-1'. .. . ,j;;:r ,,:>/\. l' .
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Meter Installed At ~AiVi& ~y'~
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Meter(s) Size
Meter(s) Use
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('Diagram of Use)
Meter will be installed and used accordinq,-t:o the above information,
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To Water Utility: Requirement9 have been met to purchase and
install meter(s) at the above address for size and use indicated.
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