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08/24/15 10 : 34AM CDT Spring Plumbing LLC -> Building Dept 9522494616 Pg 3 <br /> /3 <br /> �,, ��' ,: �VATLR Iv��R P�RIVZIT FE�S <br /> � ' �� � ; ;:� ;;, . W.Q`;�.�3E GAULUT;A:�'El��Y`'��'�'ST,A�?F' � .� - <br /> ❑ 5/8"M�'�R- ❑ 3/4"NxE'Z'�R- �1'•METER- <br /> ❑ 5/8"T�O�tN - 0 3/4"HORN - C�-1�'�TORN - <br /> ❑ "WAT�R ME'�ER (THES&WII+L HAVE'�'O a�S�CTAL o1Zri�D&P2ttIC&S DETERMINED) <br /> X. �`��$: � <br /> 2. HOR,'v F�� $ <br /> 3. T�TAT�PER�M��'�E(Add T,ines 1-2 Abave) � <br /> CITY-USE ONLY� � <br /> * �'or Current Pnici.z�g�Ze�er to Current Year-Watez Mete�Pr�cing Chart* <br /> , <br /> ��°�� 53354890 <br /> Sl'ZE: [)5/S" ❑3/4" ❑1" ❑Otk�e�r II I I II (I I I I III I I I II II <br /> SERI.AL#: <br /> ERT T-�fCr�T#: ����������������������������� (if applicable) <br /> 1852989024 <br /> A:Dl7Y'1"SON,A.L�]F'ORMATTOI�—�+TA'X`E3.2�'�RS <br /> T1�e undarsigned heseby app�es to the Czty o�4rono for issuauce of a water meter pezxro,it, agt'ees <br /> to do all work in strict accoxdance with the ordinances o£the City atad t1�e regulations of the State <br /> of Mzz�.asota,arad ce.rCif"ies that a1t statetao�ts zaade rnn this application are,true and correct. <br /> Applicant: �� Date: �/�"K�� � ___ <br /> Onginal: .�-,r�ddress FYIe <br /> Make Coples F'or: .f-Utility Billing Depar�hnent <br />