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61/04/2a15 04:46 9528947972 LAKESIDE PLUMBING PAGE 02/02 <br /> . <br /> � ��j yy�,�-� <br /> F�,'� I�I I��� i -. !� :�� 1 � �y M 7+�y 1 ry��; y�`�I� �.a�,� i i � <br /> v �,� :1 Y�:PA. + YV����'CprhVJ��LC,�fr�'.Rl���ld11'�LYLI ���� i � � � .,., <br /> r � � <br /> .����, ��� , � ', r �Vl`�;�'B��A�'�� .�,.?7;�'D B�'"C�'T��'S.�'���';�� �� �` �" � <br /> „�. , <br /> [J S/R"MrTGR, [J 3/4"M�TER- � "Mr'I'�;R- <br /> �] 5/8'"1-fOR'N - � 3/4"i-lOR1V � 1"I)ORN - <br /> � "WAT�R MET�12 r't�a�esr wrl,�,tlnvr Tn rtr SN��c�ni,o�prrzr:,n.E r�nrrrs r�rTrrzrvttNr»� <br /> I. METER FEE� � <br /> 2. i-torc�v r�� � <br /> 3. TO'�A,1.�ERMiT I�rr(Add Lit,es i-z Above) � <br /> CITY-U5�ONLY � <br /> �` �'or C��rre��t Pricing RcTcr to CurrenC Yea�•- Water Meter Pricing Cha�•t * <br /> ) i <br /> E�IZAIVf�: I� —�= ��� ��'��� <br /> 517E: �.5/8" �3/�4" .Y-�1" d Other_,. " <br /> SERiAL 4�: �`' , i <br /> �RT HrGr-i�: IIIIII III IIIIII I IIIIIIIIIIIII 53193912 <br /> 1852508359 __ ..' (if lpplicable) IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII I IIII <br /> ADDXTIONAL 1NFORIVI.A�TON-WATER 1�ET�RS � <br /> T'he undersigned hcrcby applics to the City oFOrono for issuance of a water mcYcr permit, �gre,os <br /> to do ali work in strict accordance with the ordinanccs of the City and thc regulatio�,s of the St;ite <br /> of Mi��nes ,� ertificS tha I1 statements made on this�pplicalion are,true and co►•rect. <br /> Appiic�nt: _ Dat:o; r � <br /> �� <br /> , i <br /> Ori�inal.• 1-Adn're.r,s f'ile <br /> il�nke Copies I'or•, 1- Illilily l�illin�peptarin�er�� 1-Cash!>>•aivcr <br />