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METER(S) PERMIT
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Name of Owner l\e\f"'j
Address of Owner (9 '7/
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Meter Installed At
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Meter(s) Size 7"7
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Meter(s) Use
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("Diagram of Use)
Meter will be installed and used according to the above information,
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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