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METER(S) PERMIT
Date
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Name of OWner /3) e/\)
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Address of Owner ,~3 S<P
Meter Installed At; 77 8"~'
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Meter(s) Size 7/ L-I
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Meter (s) Use
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Meter will be installed and used according to the above information,
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, , ''bwtler' 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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Plumbing Inspector