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2. Permit Number*
3. Date Requested for Residential Meter Set*
   I certify that all meter set standards have been fulfilled prior to this request.
5. Job Site Address*
6. Picture of Ready Area*

   Please provide a picture of the "ready" area for the requested Meter Set.

8. Contractor Name on Permit*
9. Email Address *
   As the contractor for the above noted property, I attest that all information provided is accurate.
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11. 1. Receive an email copy of this form.
12. Email address

    This field is not part of the form submission.

13. Submit

* indicates a required field