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O1/03/2014 FRI 6: 19 FAX 763 473 8565 Sabre Plumbinq & Heating �001/002 <br /> i <br /> �'�'si.;�r�'"fi�'� ��' '11 � "Y�'�a, i.�'g��r: <br /> ,�{� Ci1y ofOrono ���,.,", '`.�`.�a'"° �`�������+�i�-� ��` `, '.^�'Y <br /> P.U.Lioa 66 h� <br /> � � 27i0 Kd{cy Parkwey x ; �„k " ' ���,�. <br /> ,:.� � <br /> `� Crystal Bay,h1N 55323 ��'�.z. ��.,,f �^�:a�'�' <br /> e� (952)249-4600 aM�'','�` �> �` 7:,, �` <br /> �� ; <br /> :�.r��`+'- <br /> CITY O�'ORONO—WATER METER FORM <br /> (•Note:Snme permils may rcquin�approval b��the Building OfTicial and/�r Public Works popartnunt•) <br /> �� . `a � � �fi? '�� rr �����r�.��� ��Y � <br /> .. � W��M, a.'x. .�?:.�;' k�• i 41.Y,..: a. ; ,`. c <br /> `tt. ...��.: ..% <br /> 1. WATER METERS must be picked up and paid for at City Hnll. <br /> 2. If possibte,fax in this application ubead of time;we will tben call you and let you know we have <br /> the watcr meter in stock. Fax Number:(952)249-4616. Also,you can calt al�ead of time W make <br /> sure we received the fax,or to warn us that the fa�:is coming. <br /> 3. WATER METERS must be set and seated by Orono Water Department (952) 249-4600, <br /> upoa completion oi meter installation. <br /> � <br /> a <br /> � `. <br /> ltesidential(May Require Approval) Q Commarcial(Approval Required) <br /> 0 New Meter []Additional Meter—Eor: ❑Keplacement Metcr <br /> SiteAddress: Z3�� �t�t�,�d�j� CJNt. �d.tn� , <br /> --- <br /> Owner: Mailing Address: <br /> City: 7_ip: <br /> Home Phone: Alternate Phone: <br /> ....._... _ Contractor: a Contact Person: <br /> _-�-----�--, ._.,.....__._.�„�....�..._�....._.....��... <br /> _.._..._—__..__.....__._._—.-----.— _..�.___--_ _...-�------... .__....�.._.___.__.._ _.�... _.__ <br /> . ... _._._____....__..._._...____.._._..�._.___ . . . _ <br /> Address: �-(�,�,�3JCJ @ ' State License#: ��t���1�-a <br /> L�h'� ��_ Zip:�'j Expiration Date: )2.��I- Z.Q I� <br /> Phone: J(����3•�}'�,�� Alternate Phone: 7���'�-�1�i�Z2(�,�„� <br />