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4/18/12 02 : 58PM CDT Spring Plumbing LLC —> Monica 9522494616 Pg ; <br /> 3 <br /> , ; <br /> FOA C Y U8E QNLY <br /> �r,�.x,.. c►�or or000 �l D <br /> ��N�� <br /> O p� p.o.Box 66 llerc Rcoaivad: !b F'�mi�a�„�b <br /> � � 2730 Kolloy Pu�cwaY <br /> �.�j��j Crysta]Bay.IvII�f SS323 wppmvea By;([rKequSm�l); ,�� <br /> �',¢�, � (95Z)249�OW ///yyy-//� <br /> ?y.,�.�Jr / V/ / <br /> CITY OF ORONO—WATER METER FORM �i / <br /> (•NuFe:8oms pc�iM mqy roqufre�ov�l by[he Didtdt��g Officlal nnd/or Puhiia We(Ka Depataaen►') <br /> GENERAL INFORMATION <br /> 1. WATER METER$must be pic3ced up and paid for at City Hall. <br /> 2. If i fax in this application ahead of time;we will then cell you and lot you know we have <br /> tho weter meter in stock. Bax Numbea�: (952)249-4616. Alao,you can eall ahesd of time to make <br /> sure wa received the fsx.or to warn us th�tt the fax is co�tiqg, <br /> 3. WAT�R METERS atust be set and sealed by Orono Water DepArtmeut ('952) Z49�4600, <br /> upon cOmpletion of ineter Inrtalixtion. <br /> TYFE OF PERMIT <br /> Chcck All That A 1 <br /> Q Residan3ial(May Reqaire Approval) 0 Commercial(Approvsl RequiureA) <br /> � Ncw Mcter ❑Additionsl A+ieter—For; �Replecemant Meter <br /> Job Site 1 Owner Iafannation: <br /> Site Address: 2680 Casco Polnt Road <br /> ���; Lecy Brothers Homes Mailing Address: 15012 Hwy 7 <br /> C��,: Minnetcnka Z1 55345 <br /> p� <br /> Home Phone: Alternate Phane: <br /> Con�actvr lnfarmabion; <br /> 3prinQ Plumbing Th�resa Bialon <br /> Contra,ctor: COX�tact�eTso�l' <br /> Address: �1473 K�nyon Court Stata Licanse#: 88807-PM <br /> City; ��aine �p; 55449 Expiration Date: 12/31/2012 <br /> Phone: (763)614-7863 Ajternate Phone: <br />