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08/24/15 10 ; 34AM CDT Spring Plumbing LLC —> Building Dept 9522494616 Pg 2 <br /> /3 <br /> , , . <br /> 7�0� �t' o�.X <br /> �-��/� 9 Bax�roa0 patc Xtcc� . Pe[mit!!��. /D�� <br /> �.J 2750 T�elley Perktvey <br /> �Y��aY,�55323 Approved Hy:(ff R6ynired): �� <br /> (952)249-4600 <br /> �'' <br /> � <br /> `���sz�o��'G �Z�'�F ORO1�0-'i�'ATE�t IYIETER FOR1V� <br /> (Nvte:Some pe�nnits msy mqirirc appre�val by the Duilding Offioiel and/or Public Works Depsrtment) <br /> E�ENE��O�tN�A.'Z'ZON <br /> 1. WA�R�ET�RS must ba piciced up and paid for at City Hall. <br /> 2. If ossi 1 Pa7c in this applieation ahead of tame;we wz�l then.ca1�you and let you Irn.ow we have <br /> the water zneter in stocic. 2�ax Number:(952)2�19-�616. Also,you cazz call aYzead o�F ticzxe to zna.ke <br /> sure we received tE�e�a�c,oz to warn us that the fax is coming. <br /> 3. WATER MFTERS must be set and sealed by Orono Water Department (9SZ) 249-4b00, <br /> upon coAapXeti,an of�nnetex i�stallation. <br /> TY'1'E OF�E�T <br /> Check All Tbat A 1 <br /> ❑Residential(May Require A��roval) []Commarcial(Approval Required) <br /> �er�v Meter ❑Adc�.tional Mster—For: ❑Re�lacemer�t Meter <br /> Tob Sxte 7 dwner Tnforma�ion: <br /> Site Address: � �� � �� ��� 5� <br /> Q�vner: Mailing Address: <br /> City: Zip: _ _ __ <br /> �ome phone: Alternate Phone: <br /> 'Contr'aetor S�oz�oa2rti.pzt: <br /> Contractor: lv�"`�,� Coz�tactPerson� l�`�1/���-fJ�a.�d�,. <br /> .A.ddzess: j��� � ��-d'�-K f/�^ � State T��cense#: 1'C� �D ���� � <br /> Cxty: �`�^� Zip: ���yy Expiration Date: ����� �1 � <br /> Phone: '� �3' �P i U �-1�1 !o,' ,�4lterna�e�'hone: <br />