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METER(S) PERMIT
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Name of, OWner i-I?).:) (1Ch7 S 1~ ({ ellul/
Adctres,s ofOWneI,"
Meter Installed At, Je"/{' lir)n> /, It.)l'"
Meter(s) Size o/1f!
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Meter(s) Use ,t4;Vl''f..CS 1?(~.
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Meter will be installed and used according to the above information,
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OWne r <::>r Agent
TO Water Utility: Requirements have been met to purchase and
install meter(s)at the above address for size and use indicated.
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6 ,/ Plumbinq Inspector