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METER(S) PERMIT
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Name of OWner
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Address of Owner
Meter Installed A
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Meter(s) Size
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Meter(s) Use
Meter will be installed
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a,n{:sed ad~~~}h4t{~0~:~:bove'
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information,
,.",.../-"~/ 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.