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Jun-19-1009 08:22am From-CITY OF ORONO +9512494616 T-592 P.001/003 F-526 <br /> ' O�Q� City of Orono ' ' : . ,�R CITX�USE ONLY : • . <br /> P.O.Hon 66 . � . <br /> 0 '.�u�lteceivo�:. �• � • •Permit � . <br /> 2750 Kelley Pukway . . .'�r :.; ,,�-'=—�-' �( � <br /> � � �ystal Dsy,MN 55323 Approved Ry;(If ume � <br /> (9S2)_49�4600 � � ^): .. <br /> CIT`Y OF ORONO,WATER 1VIETER�'OR1VI <br /> (`Note:Sor�permiie tta�y rrquiro approval by d�c IIuilding OfMicial and�or Public W,xka D,,pArnni„t•) <br /> CF.T�ERA�,Ii�'FORMATION , � . . � . . . <br /> 1. Wq7'�R METERS mu,ct be picl�d up a�p��d for at City HaU. <br /> 2. Yf ' Ic fiuc ia this applicarion al�ad of time;we wi11 cl:en caIl you and 1et you laww we havc <br /> the�u'e�er mrur in stock. �ax Number:(952)249-4616. Also,you cnn cali aluad of tia�e to rnalce <br /> sure we received the fax,or to warn«s that tbe fax is comir�g, <br /> 3. WATEYt 11�TERS must be �et snd seAled by Orono VNater �p�rtmcnt (9ga� 249-46Q0, <br /> upoa completion oi meter insta,Uadon. <br /> � � . � . , � .� � : . �P$ofi PE�vrrr � � . <br /> . �, . . <br /> � �• � � ' Check Ail'Y'hat A l • � � , � <br /> ❑Residcntial(May Require ppproval) ��nia1 <br /> �i (APP���qui red) <br /> ❑New Metcx []pddihoaal Mettr,For: <br /> ❑1t,e1�lacement Me�rr <br /> Job Site/Owner b�formaaon; <br /> Sitc Adc3ress: �G �� <br /> Owaer: Mailing Address: <br /> .� <br /> City: � Zip: <br /> Home Phone: Alternate Phone: <br /> Coi�tractor•Infor�tlation: � . . <br /> Contractor: �j(.� � �Contact P�son: �!1 � ��(c <br /> / <br /> Address: ��l' a- State License#: ,�� _ P/� <br /> Ciry: ��J��i+�i� ZzP:_S3'�9 Expiration bate: � 3/ '-" 4 <br /> � _� <br /> Phone: GS�`�- 79�� Alternate phone: �S/- 7 7S"�- 6p `��' <br />