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METER (S ) PERMIT
Date
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Name of OWner i j !rv'"
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Meter(s) Size 34'"
Meter (s) Use DbY" e $-I,'~.'
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("Diagram of Use)
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Meter will be installed and used according to the above information,
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OWner or Agent
To Water Uti11ty: Requirements have been met to purchase and
install meter(s) at the above address for size and use indicated.
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? Plumbing Inspector