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METER(S) PERMIT
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Address of Owner ~
Meter Installed At 3'ftr7 G~Lt_)~.;t /y'Kl3kILEI(
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Owner h 4fL/d
Name of
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Meter(s) Size
Meter (s) Use
Meter will be
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installed afcl.:,used/a~cord~~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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T p' uIDbing (tspector .