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s � <br /> , �� ; �?S1F��+It1'� � <br /> ��� City of Orono ` r ��t '�' s ,��� , . � ; <br /> � O P_O.Box 66 .i3aic��ei+YeB k �'I,.�t��1"+� _ ,r �r.�: <br /> <. 27�0 Kelley Park�t'ay s;,K„,^k# X � '` '" : ���' <br /> T�� � � �sa. s� y, � a k; . <br /> Crysul Bay_htN»32; ��;q(�� �'^; �� �" � � -� <br /> � � xn� � �,� � � <br /> � (9S_)249--0600 ,,�,.Kr^�'�E'�.�":�;z,s��` R c ?`'t�.,�y ;,. <br /> CI.TY OF ORONO—VVATER METER FORM <br /> (•Note:Some permils may require approvat bg tfic Buildi�e Ofiicial and/or Publie Worics Dcpartment•) <br /> ���9��.�������������.�. � ���� ._�w.'r' �� �"�s�. � �����a.���,.��*t����� �x.z�'�����t��� , <br /> ,,�,.. +. a'�.._ <br /> 1_ WATF;R ME7'ERS must be picked un and paid for at City HaU. <br /> 2_ If possible,fax in this apptication ahead of time;�ve rxill then cal!yov and lei you know ti•e have <br /> ihe v�afer meter in stock. Fax Number:(95?)249-4616_ Also,you can catt ahead of time to make <br /> sure we receit ed the fax or to�varn us that the fa�:is coming_ <br /> 3. �YATER hiETERS mast be set and sealed bv Oroao Water Depactme+�t (952j 249-460t#, <br /> upoa completion of ineter iastatiatioa. <br /> �ti: ...;�... ,.,.. - ..�. ..� ....-• -- , <br /> Q�Residenfiat(May Require Appcoval) ❑Commercial(Approval R�quired) <br /> [�Ncx Meter �Additional Meter–For: ❑Re}�lacement Meter — <br /> • -�:.. . . _ , <br /> ' �. <br /> Site Address: 53a �Ov�rt��� �� �I V.Q_, <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Hom.e Phone: Alternate Phone: <br /> _. _. -- Contractor: ,L ���4� Contact Person: �ptiN�vl <br /> ---- __-= -------------- ------._..-------- - ----,/--� ----- --_-----------__ _ <br /> Address: �5535�:0�'Vh.�. � State License#: Y����� <br /> City: �� Zip: 55 'J Expi.cation Date: J Z�3l� 20�q <br /> Phone: ��h•�}�I'�•��(o� AlternatePhone: `l(o7J• Z�j�J'�7�� <br />