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. <br /> -- F<)RCtTYI)SE�Ni,�` <br /> /;O-�A�•� City'of arono �� � �;�- � <br /> �� `� ` P.O.Box 66 Datc[2eccivcd ��� Px-�mit*��� ��`�C <br /> '�a" ��;` 27�0 Kclle Park�ca�� - — <br /> r +�� y <br /> �6 �L�� �`� Crystai Sa1�_n.7N»523 Appco�eci$� (I(iteqnircd)' ` <br /> ������i' (9S�)249-aG40 <br /> CITY OF ORONO-WATER NiETE[2 F�RM <br /> (`Note:Somt peraiits may rcquirc approvat h�thc Buildine O�cial and/or Public Works Dcparcmcnt�) <br /> �������r'��Q�v�'1�2����� ,.�', .. , _.;.'.. , ..;. ': : �,_ .: . , <br /> i_ WATT;R METERS must be niGked un and naid for at City Hall. <br /> 2_ If possible,fax in this application ahead of time;�ve w•ill then catl you and Iei you know tve have <br /> the va•afer meter in stock. I�vc Number:(95�)249-4616_ Also,you can call ahead of time to make <br /> sure�ve receiti�ed the fax,or to�varn us that the fa};is coming_ <br /> 3. 1VATER h1ETERS mnst be set and sealed by Orono �Vater Depar-finent (952} 249-46QU, <br /> upon completion ot meter instailation. <br /> : �i�Y�'-��d3'-�I3��Ft�h i i� <br /> .�. <br /> ' ; {C�icc���t�fiai Aj�plti) - <br /> Q�Residential(May Require Approval) (�Commercial(Approc�al Required) <br /> �Neu-Meter �Additional Meter-Eor: �Rcplacement Meter <br /> �U�3� i ���� _-� ,,.� �< <br /> � ��� CI'�1 T <br /> �-�' �o�s���;�-� <br /> S ite Address: �(p'=� � �Q�1,1 1(1�( <br /> Ov��ner: Mailing Address: <br /> City: 7ip: <br /> Home Phone: Alternate Phone_ <br /> � ��� � ..� �fi �� �,�������� � <br /> �C,or�t�-a�t�z' ��c� ��o <br /> �.�,_.����--�;<-�_.,..,:� ��.����.-.-��''�"���� <br /> - - Contractor: 5�,�,�/e, ��,�D� 0 �a� Contact Person_ ��Vl <br /> — ----- - - - - - - � <br /> _------- ---- -- ---- -- - -----n---------- - <br /> ---. _--- ---- _---- , _- --- ----__ <br /> Address: ��j'�j�� ���,� State License #: F'(:(��IFJ3i-19 <br /> City: 7ip:�i.�1 Expiration .Date: I Z.'�l'ZO l� <br /> Phone: ��i%) �'{-`��j� �,(�7 AlternatePhone: `���j ZGj7j'�7r� <br />