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07/28/2015 TUE 13: 17 FAx 763 473 8565 Sdbre Hedting 6 Air Cond �002/009 <br /> ♦ <br /> ,� 2c����=rY-�r��5� � _ <br /> 7/��/��_ <br /> 'i � ��,fF �"����'i'f' �o f �i�?ri " f �F�ki�kkiyV� <br /> CityofOrono �;� �� � � v� �„`�� � �h� ,1�, , , <br /> � RU,Dox 66 �`�������' ���� l��p��� � ,.g rf t�s <br /> 27i0 KoIIeY Parkrvay '�"` �� �� ^` �.�:" �r ' 4 ; ,, �� �'�' <br /> C �e52r,�t���`��� �� �. ��15 .#'U' 1a�i '1,. <br /> Cryelel 8ey.MN i5323 l�7��Y�I���tt'�„'fi���,' � E. h ° <br /> �� (9S2)249-4B00 Z��`r?��dp a�°�� .�€`�j � � �`eJ? �� l+�.st� j w�p���� ..�� �(/J/ /l�' <br /> �;�`1 �'".P'1µ�X��""i5+t4 �.j. F7 l �,�y ti"R -/ • � J <br /> V <br /> CITX O�ORONO—WATER METER FORM /' j <br /> ('KOte:SOme pprmlts may ruqulro approvel hy the�ul{ding Op'Ilclal and/or Publlc Works Dcpnr�mrnt�) <br /> I, WATER MF,TERS muet be picked up and pald For at City Nall, <br /> 2. If possible,fex in thia applicqtion ahead of time;we will then call you end lot you know wa have <br /> lhe weter meter in stock. Fsx Number:(952)249-4616. Also,you can cell nhead of time tu mako <br /> suro we received the fax,or to warn us fl�at the fax is coming. <br /> 3� WAT&R MTTERB musl be ret aud sealed by Orono Wqtor popartmont (952) 249-4640, <br /> upon compiotlon of mater InmtallaHon. <br /> [�ltaeidanrial(May Reqaire Approval) 0 Commarelal(Approval itequired} <br /> �`�few Meter �Addition�l Meter•••E'ar: Q Replacemont Moter <br /> SiteAddress; �a� UrDl,�ln T\lJGIL� I� __ <br /> Owner: Mailing�ddress: <br /> City: 7.,ip; <br /> Home Phone; 111terttate Phone: <br /> ----------- --C�ntracCor: � Cnntact Persnn: <br /> ..- ----- - --�-� p - , ... <br /> _� . ---1��------'. ._�... _ <br /> �A,ddress: i;1FJ�5 YV1PdI�l�r.� Stace License�: � 3�l�.---- - ^ - - - _.. ...._ <br /> C'sty: 7ip:��� 1:xpiration Date: 11•31�7�I S <br /> hhone; ���•���•�2L� Alternate.Phone: vI(D�'�5�'�7 g� . <br />