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07/09/2013 TUE 8: 16 FAX 763 473 8565 Sabre Plumbing & Heatinq �001/002
<br /> s ' �ti ^ C �l ll.S1E O,D,�.1-'1'" k�r , �
<br /> Cit•of Orono � �"' s t t�. �' /_7
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<br /> 27>0 Kcllcy Park�va)' �j �xs k''�r z a r ib.,Y r, a �+ , Te a�t r
<br /> � r{�-.� r 3 �yL! 6��} FSi,x33'i K or � T > '�
<br /> Crystal Bay.M11N»S?3 ,�P ��! ��,pp�U,`�+ a : # ,,�3��>a ;
<br /> �' . � (952)249-4600 k{R-�����S's�m F�+st' �°�Y�-���t`��°sr4' ��.
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<br /> CITY OF ORONO–WATER METER FORM
<br /> (•Note:Somc pcnnits may n.quire approval 6y ihc Buiiding Ofticial and/or Pablic Works Dcpartmeni•)
<br /> �..��.. � � ��y; „�L>�,'n.���.�,u,�!��A'.�\�q ?i;,=N�:���«.<..s.w .,'v£Z.e.:3..:� {�}i.,.iC�l�na'.�.��y��.y
<br /> ��?A f �� !Y Aj 'x�'+' W� ~i
<br /> 1. WATER METERS must be picked up and paid for ut Cify Hall.
<br /> 2. lf possible,fax in this apptication al�ead of time;we will then ca11 you and lct you know we have
<br /> the water meter ir.stock. Tax Number:(952)219-4E16. Also,you car.call ahead af:ime to make
<br /> surc we received the fax,or to warn us that the faa is comina.
<br /> 3. �VATEK METERS must be set and sealed by Orono Water bepartment (952) 249-4600,
<br /> upon completion of mctcr instailation.
<br /> ��?�'�'� � � ��°'� ��a�n�� F .cfi:,6y�.
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<br /> Q�Besidential(May Require Approval) Q Commerciai(Approval Required)
<br /> Q'New Metcr �Additionat Meter—Eor: �Replacement Meter
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<br /> Site Address: ��t�i;`', �i��Y�-1.�.:::�4}c,��� �\ }�.` �
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<br /> Owner: Mailing Address:
<br /> City: Zip:
<br /> i-.o��..,�hone: A►`cernaie Phone: �
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<br /> __ ..___..__ . Contractor: �! �'�' � ���}':� Contact Person: ��Gl�1.tt�,v_-�------
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<br /> Address: !L �7�)!_) I�,Gf(��.t�fi .�..--1� State License#: �'�,(/��J,'��{-�j
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<br /> City: I;`� -�(^ ` � 7i ��:-�� Ex 1rat�on Date. ��- �)I-�(:%I_'�
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<br /> Phone: �ii)�'��'��l- L1_(�-'1 Alternate Phone: ��i���7`JJ 1�"j�,��'
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