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METER(S) PERMIT
Date
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Name of OWner ,Lfjf0D
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Address of Owner
Meter Installed At 317?
Meter(s) Size =?~/
Meter(s) Use
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Meter will be installed and used according,,'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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( Plumb1ng Inspector