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Feb 05 07 08: 21a Up North Mechanical 651 -277-0515 p. 2 <br /> 81/31/2007 22:84 7632635912 ADVANCE WAL� SYSTEhtS PAGE 03/03 <br /> ���-at-20ar ai:2epw P7m-ci�r OF dROtlo +n�z�easis T-250 P OOt/aa9 F�OtT <br /> •,., ,. <br /> (�SAC Cd�rte R0�71�ate=S1,6T5.80) S <br /> (SAC Charge mopt accompa�ry all aewa pa'mit licutiam uu[eSl plep4id} <br /> (Oroao Cicy SiatFan demmine if applfc.ble) <br /> (1f aot prepaid,i isweC CO�nstlion peT�'11R w a0t b0 i6SYt� <br /> ^. � Sewe�COaatcRon/Discaen�ltll�l�'►air(535. t�r9tq�) S <br /> Pipo siu incbcs:maicrlai SchG 4U 'r usted:_�cast uon <br /> ❑Wieer Cann.�rtinn 1�i+caeaeet/Aepa ir(539 er 9lub S <br /> Pipe sf m inrbes;muainl SClfd 40 ir cestod;�Cppp�X <br /> • 1. SUBTOTAi.ofpesmif RequateQ; S . <br /> z. sr,�7'�4URCxwRC.E S sn <br /> 3. POSTAGE&�La1NDL1134(pniy oo Mail-In Ap fatloiu) T ��i <br /> i. T�7'AL PERMIT FEE{Add Lines l-3 Above) S <br /> �. aDarrroN�,rrvFORu�TTON : wAr�R�r�xs � <br /> � WATER MCT'��S musc►e picked up and paid 4br a[ no Ciry H�11,ihese ue on a� e�mi� <br /> • WA7`$R,'Vt�'Y'E�S ut9st be IK�Irid �1�d by O Wator Acpar�eut(952)249-1i00,wpon <br /> eo�p�ItSipp of ineter enlnllatioA. _, <br /> 7'he undersigoed I�ereby applies to che City of Orono fo svaacc of n Utilicy Pmni�,agrees to do <br /> atl work iu sttic[accondance with tho ordiaences af City and rhe regulations of the Stue of <br /> Minntsou,and eeraf�eS.�at e1i st, ents made or�, 's plication ur,true and correct. <br /> � �� `��� <br /> Applican� D3ltC: r <br /> ��':'t�ytus.r �� � <br /> . i <br />