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METER(S) PERMIT
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Name of OWner
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Address of OWner
Meter Installed
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Meter(s) Size
Meter(s) Use
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(Diagram of Use)
Meter will be
information,
installed a~~ u~sed a;cor~ to the above
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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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- lu 1ng Inspector