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6/29/10 02 :32PM CDT Spring Plumbing LLC —> City of Orono 9522494616 Pg ; <br /> 3 r . <br /> � � FOA C1TY TJ/s ONLY <br /> Ciq�Of Ora10 <br /> � � � S�K�el]ey Aufcwey Dobe Et�coved; 1''emit i� <br /> � r� G�yttal Dsyr MN SSSZ9 APP�O�BY�(If R09��Y <br /> �����i . (95Z)2a9-4600 <br /> �� <br /> CITY OF ORONO—WATER METER FORM <br /> (•xoMr svwe pezmiks mor requi�eppiord b�r mn 9uuele�ol�eisl.nakr Pub�io wo�9e.nep�ttmme•) <br /> i <br /> C#ENERAL II�IFORMATiON ' <br /> �. WA1�A A+�TE��musL be picJced up end psid for at Ciry Hall. <br /> 2. �fiuc in this applioation aLosd of tiuyo;we will tba�caU��ou snd Jet yw k�ww we hsvc <br /> the wate�meter in snock. Fax Number:(952)?A9�4616. Alao�you asa csll ahead a�tiaoe to mako <br /> surc wo t�ooa�vod tho fix,or b wt►rn Ws thot tho thx is ooming. <br /> 3. WAT�R MI�T�RS must be eet and kded by Oeono Water Dep�rana�e (96a) a49-�600, <br /> upoa oompl�iOa ottnehr inetalls�on. <br /> TYPE OF PERMIT <br /> Check 11�A 1 <br /> �R�ides�tia�(MaY Reciuire Agprovel) �Coana�cial(Approval Reqtsirod) <br /> �New M�r ❑Additional Meter—Foc: O xoPiaoomom Meter <br /> Job Site/Owaer iufotmstian: � ' <br /> Site Addres�: � `d� r �a S� �� , <br /> , <br /> ow��:_� ` Mail�aadresg: 'S^D r� � <br /> - <br /> c��: l�h tr�,/+�t'��A z�p; S'S'0 l�- <br /> Home Phoa�; Alt�rnata P'houe: <br /> Ca�tractor Jnfiotmatin�o: <br /> ' ' � �i� <br /> C;ontractor. � �n� Contacc Peraon: <br /> A�T889: r��3 ��'L� State Licenac#: �I G �0�7 <br /> ' .S�l� �-1 3 ���o <br /> City: !uC Zip. Bxpiration Date: � <br /> �oae� �(� ;- le<<l- �9G 3 � p►ltarnsto Phoue; <br />