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06/27/17 02 : 08PM CDT Spring Plumbing LLC –> 9522494616 Pg 3 <br /> /4 <br /> � , . <br /> r�� OB C Y US�ONI,Y <br /> �O� C'ity of[)rona � ���� �/U <br /> i'.() Finz hh llute Rcc � Per�nit A���„`�/_ <br /> 0 27SD Kelley Parkway <br /> C'rystnll:�uy.nnNji�21 Appr�vedIIy:(IfRequired)'. .._....._.... ,_.._ ..... ,... <br /> (7i2}2�'1-4liQ(1 //_ ���} <br /> y �,, [!/ � <br /> `��,, �.4� CITY OF ORONO–WATER METER FUKM <br /> `6��H04' (N'�tt• tiumr G+rrmils rn}ry myuire;�(��rnv:�l hy Ih��Rui}dingl�fficial and/n�T'uhlic Wnr1csT]cnaiYmcnt) <br /> � GENER�L INI�'OkMATION <br /> 1. WA'1'I:R Ml:'1'I:ILS tttust bc pickcd up ttnd psid 1or etl Cily k�nll. <br /> 2. if nossiblc,fax in this application ahead of time;we will thcn cxlI yoLi and lcl yuu lu�uw wt h�ve <br /> fhe water meter in skock. h ax Numbcrr:(9�2)249-4ti 1 b. Also,you can call ahead of time t.o make <br /> �ure we received tlte t�x,ar to wam us th,�l lhe f� is ooming. <br /> 3. WA'1'LR Mk;TFRS muxt hr set �nd sealed by Oronq Wnter Deprart�ttenl (')52) 24'J-46U0, <br /> upon cumpleliou 0[1nCtCr instnllatinn. <br /> TYYE Ul�P�RMIT <br /> (Lheck t1t1 That Apply) <br /> �ltcsidcnt.ial(May Rcquirc Approval) [�C'c,n,mcrc;inl(Appruval Requirad) <br /> �New Mcter ❑Add.itional Meter—Fnr: ❑ Replaccmcnl Mcicr <br /> .lab 5ite/Owner.[ttformation: <br /> �lte AC�c�retiti: � 1 .J �� `t ��J Y�� ��J[�LT <br /> Uwner: Mailing Address: <br /> C'ity: _.. — Zip: <br /> H�ine Phone: Alternatc Yhone: <br /> Contracu�r tnformation: <br /> Contractor: � 1 l,f`L �v�1� Contact Person: ���' `cf' ���� (�"'"� (�1/� <br /> Aa�r�ss: f I K73 I�h-�{w e� State License#: �t�, � ��`" �l <br /> Ci�y: � ��-�""` Zip:�yy�cpiration Uate: ����� / �� <br /> k�hone: ��D� ��� �77�� Alternate Yl�one: <br />