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12/17/2015 09:57 7632592299 SCHULTIES PLUMBING PAGE 06/67 <br /> . � , � `3 3.d7 <br /> � <br /> ��/�� City af Orona , � ^��R�'��"�'�' <br /> Y� P.O�Hox6G bnt�REOc� � � ��!'CtlYlli� �� �, <br /> 2750 Ke1lty Parkway <br /> , ' ,r ' , ', <br /> � Crystal 5av.MN 55323 u��pE'bv'Ctl$y'(Ii-�'K¢qqirod);I ��u <br /> � (9S2)249.4600 , <br /> , � i i�F i �„� <br /> �� � �. <br /> ��t��r��Hoe.��� CITX OF ORONO�WATE�N1E'�'E ' <br /> Nncc:Somc ���RM <br /> � permita may�gquirc�pprpvnl by YhC 8uil�jpg D�CI11 9nd/or p�iblic Works Dapnrimcnt) <br /> �,V,��''�h�lt�.. <br /> ����1'�'��� <br /> ¢ i <br /> ]_ WA7'�R ME�'ERS rtaust be picked up and paid for at Ciry Hala, <br /> 2. If oQ ssible,faX in t}�Is applic�tt'ion aheAd of tinrle;we will then call ypu 3nd let you know we have <br /> Che v✓ater mete�r in stock. Fax Number�(952)249-4G t G. Also,you e8n csll Ahead of time lo make <br /> surc we�reccived the fax,or to warn us that the fax is coming. <br /> 3. WA'TER M�TERS znnst be set and seeled by Orono WateX Department (9$2) 2qg_46p0, <br /> npon co�mpietion of ineteX instaiiAtion. <br /> , ,. , �, '�`�p� r?�'��'� <br /> � , ,, � , � �-;,;,;;; <br /> � ��eck AIl 1�at Ai � � � ` <br /> �Residential(l�ay RequireAppro�al) ❑CoirtmerciRl(Approval Reqaired) <br /> �New Mcter ❑Additipnal Meter—For. Q Replacement Mel'Ci' <br /> .Tab Site�CJ�a�r�t��rnirt;���a�' <br /> Site l�lddress: �%�� C, "_��,-��1��.c.�. � <br /> � <br /> ,...�..—� <br /> �`'`'��� a�ling Address: �/ 7.� �G������ <br /> City: .��� _ Zip� � <br /> Home Phone: � Alternate Phone: ..� �.�/� <br /> +�bfit�l���'���a��1�tl�tt <br /> Contractor; Conl;act Person: <br /> Address: '�yl�'tate Licertsc#: � � Q <br /> Crty: ��, �Zp�Y'�Expizai�ion Date: �"" ' � <br /> Phone: "7,� -- AIt•ernatc Phone: ��" � <br />