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� Stewart Plumbing, Inc. 7634281733 p,1 <br /> � <br /> F(M CITY USE OIVLY <br /> O City Of OrOnO ,�n <br /> g � P.O.Box 66 Daze Received: '��Pecmit# 'OW <br /> O 2750 Kcllcy Pazicway <br /> Crystal Bay,NiN 55323 �4pproved By�:([FReqicired): <br /> � (952)249-4600 <br /> •� y <br /> r � <br /> � <br /> 1"�'fs H oa``` CITY OF OROI'�i0—V{%ATER iViETER FORM <br /> (Nole Some permits may require appraCvai by Lhe Duilding Oiliciai and/ar Public Works Deparbnentj <br /> I <br /> GENERAL INFORM�TION <br /> 1. WATER METERS must be picked up and paid for at City Hall. <br /> 2. lf eossible,fax in this applicalion ahead of timc we will then call you and let you know we have <br /> the water meter in stock. Fax Number:(952)2 9-4616. Also,v�u can call ahead oft�me to make <br /> sure we received the fax,or to���arn us that the is coming. <br /> 3. WATER METERS must be set and sealed by Orono Water Departmeat (95Z) 249-4G00, <br /> upoo completio�of ineter installation. <br /> TYPE OF P�RMIT <br /> Check All That A 1 <br /> �Residential(May Require Approval) ❑Gommercial(Approval Required} <br /> � New Meter ❑Additional Meter—For: ❑Rep9acement Meter <br /> 1ob Site;Owner Information: <br /> S ite Address: �7�� ��(�t7o� �4� <br /> v <br /> Owner: �f E�n �J/,�W Mailing Address: I7SO �c✓u� � <br /> City: ��UnQ Zip: S�3q � <br /> Horne Photte: �ora?-�G a" �G Altarnate Phone: <br /> Contractor Information: <br /> Contractor: ��K�" rfu�'►��1� �-rri(, Contact Person: Za�� <br /> Address: l�aS(,Pr�We �,/¢�dr StatS License#: Q�0�3y� <br /> City: ��_ Zip:S�i7y E�iaration Date: � 3 �� <br /> I <br /> Phone: 7G3"�rd I�3 Atte�nate Phone: <br /> I <br /> I <br /> I <br /> I <br /> i <br />