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METER(S) PERMIT
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Name of Owner
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Address of Owner
Meter Installed At
Meter (8) Size U
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Meter (s) Use //;/
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(Diagram of Use)
Meter will be installed and used accordi~g to the above
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'OWner or Agent
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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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. ~1ng Inspector
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