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� 62/.2Z/2018 69:27 7632592299 SCHULTIES PLUMBING PAGE 04/05
<br /> Q��t> Clty'of Orotto � tT�c' E;!�:Y„ :;;; ;
<br /> P.O.Box 6C, ��� ��j ��.��y,�' �/,Q�
<br /> F' �Vj-1 2750 Reticy P -':'7 1 , ��,�!��� dLJ Q
<br /> LA ��3' `�` � .
<br /> Cryatel Ray..MN 553a3 '�pro��tl BY`.'F�f1k' . :., ,.. , . ,
<br /> (952)249-4C�0 ��',,
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<br /> �'���s�o4`�L CI7'X OF ORONO—WATER NI�'I�R FORM
<br /> (Natc:5ortre petmit�mry�quire appmval ry Ntc Buildittg Official and/nr Pubiic Wotks Departrncnt)
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<br /> 1. WATER 11�ETERS must be picked up and paid for at City Na11.
<br /> 2. si ie,fax in this application ahead of tim;e;wa wilt titten catl you attd let you know wc have
<br /> the water meter in stock. Fax Number:(952)249-4616. Also,you can r�ll ahcad of�ime tv make
<br /> SUTc we reccived the fax,pr to warn us that ihe�t1x is coming.
<br /> 3. WATF.R MET�RS mU9t be i�t And BCAIld by 01�ano WAter UeperttrAent (95Z) 249-�600,
<br /> Rpon complEtion Of Itfeter�d5tallatiOp.
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<br /> CJ Residential(May Require Approval) ❑Commercial(Appr'oval R�uircd)
<br /> �New Meter ❑Addttional Meter—For:
<br /> , ❑Rcplacenncnt Mcter
<br /> :�WIIVi�i�.'1(� 'il'�„`�:1�IAIG�1/�N/.'1�w.1�'VAIY� . . . . . ,,
<br /> Site Address: ��
<br /> Owner: Mailin,g Address: �l/�� � ��j�
<br /> City: _/y���.�i9t1�.r� Zip; ��
<br /> Home Phone: �J�" � Aiternate Phonc:
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<br /> Contractor: Cantact P�rson:
<br /> Address: State Lic�nse#;
<br /> �t�3'� Zip,G� Ex.piratian Date: ���/�d
<br /> Phone: ���/���- A,Itarnate Phone;
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