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METER (S) PERMIT
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Name of Owner
Address of Owner
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Meter Installed At
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Meter (s) Size'
Meter(s) Use
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(Diagram of Use)
Meter will be installed and used accordi~g 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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