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METER(S) PERMIT
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Name of OWner G r.r r /+
Address of Owner /I!)",. .I--
Meter Installed At -33 x::?
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Meter(s) Size ~/
Meter (s) Use P /:: ,',0(,0 /"1 (
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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.
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~ ing Inspector