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7/27/�2. ik:33AM CDT Spring Plumbing LLC -> Building Dept 9522494616 Pg : <br /> 3 <br /> f a�"p�� Clty of Oropo '� Y <br /> O 4�` r.o,Haac 66 nea a�rvea.� ,�..�mic� ��.'_.p.L� 7 v� <br /> 7so&oller Pa�!►wnr � <br /> � �;�y •- a*r�a.y��seass �2P��Y�(���>� <br /> �•���;' f95�IA9-4600 <br /> CITY OF ORONO-WATER METER FORM <br /> (■NoeO:Soioe pe�mits mar�oq�re upprovd by the Buildias of Fioia�.ndra Pu61k woal�a Doparpuent') <br /> GBNERAL INFO}.tMATION <br /> 1. WAT�R METERB mu�be picked up and paid for st Ciry HaU. <br /> Z. �8�ibla.fhx in this application ehead vf time;we will thea�m11 you and let you Imow we h�ve <br /> the wate�mete�ia stvck. F�x Number;(932)?A9-4616. A1ao,you can cali ehesd of time to make <br /> surc wc re�eived the fax,or m wem us lhst the f�c is oomir4g. <br /> _ . . 3. WA1TB MI�T�RS must be eet and eealed 6�► Orw�o Water Depar�ment (9'S'l) ?49�4600� <br /> npaa co►�npl�tian vf ine�t�r in�t�llanon. <br /> 'fYPE OF PERMlT <br /> Check All Thax 1 <br /> 0 Rmid�ntisl(MsY Requir�ADp�wel) �CommetCi81(ApproveJ Requited) <br /> �'�Vew M�ete� [�AdditiosU�t Meftter—For: Q Repls�nent Metee <br /> Job Site/Ownor Infozmation: <br /> Sibc Addrsss: J�►✓ (�� <br /> Owaer� P�� Mailiag Address: I � Q O �i A.t� <br /> City: _ �� �l��`�'`�— Zip: S�'L'��'17 <br /> Home Phone: Alternate Phane: <br /> Cantrsator Informat�oa: <br /> Contractor: t,%^� Contsct Person, !��� � �+WV1 <br /> Address: I ( ��� I�0� � State Licease#: ����� <br /> C�q�. Z�p'��j E�cpuatlon Date' ��/ 311_�!3 <br /> Phoae; ��3" l01�(- ?�(� 3 t+►►ltcrnate Phon�; <br />