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METERS) PERMIT
Date 7
12
Name of Owner (,r 7' 3 '. /5477 e
Address of Owner /4",..c.
Meter Installed At AURA"- e
Meter(s) Size 3-04/ ~��y
Meter(s) Use i,, �,.r"1,
•
1
Gs
("Diagram of Use)
Meter Will be installed and used according to the above information,
• "" r or Agent
To Water Utility: Requirements have been met to purchase and
install meter(s) at the above address for size and use indicated.
Plumbing Inspector