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FOR CITT L�SE t)NLI� <br /> ;¢�� Cit��of Orono <br /> OQ P-O.Box 66 Datr Rccei�ed: ____ Yrntut= ______ <br /> 2750 Kelley Parkway <br /> a ^. � Crystal Bay,MN 55323 _\ppro�eJ B�-�If Raqoired�: <br /> �� 't„'4 r�a` (952)2d9-4600 ----- ---- .) <br /> '�sexo4' <br /> CITY OF ORONO—WATER METER FORM <br /> ('Note:Some pem�its may require approval by the Building�cial and/or Public Worke Department*) <br /> GENERAL INFORMATION <br /> 1. WATER METERS must be picked up and paid for at City Hall. <br /> 2. If possible,fa�c in this application ahead of time;we will then cali you and let you know we have <br /> the water meter in�tock. Fa�c Number: (952)249-4616. Also,you can call ahead of time[o make <br /> sure we received the fax,or to wam us that the fa�c is coming. <br /> 3. WATER METERS must be set and sealed by Orono Water Depariment (952) 249-4600, <br /> upon completion of ineter installation. <br /> TYPE OF PERMIT � <br /> � Gieck All That A 1 ) <br /> Resiilential(Ma� Require flPpro��il) ❑Commercial(Approval Requireci) <br /> �w Meter �Additional Meter—For: �Replacement Meter <br /> Job Site/Owuer Information: <br /> n <br /> Site Address: ��Z� �'�`�(� 1..1i L��. <br /> Owner: FY�L���1C�L �e��� Mailing Address: _ <br /> City: Zip: —__ <br /> Home Phone: Alternate Phone: <br /> Contractor L�formation: <br /> Stewart Piumbing, Inc. Pam Baker <br /> Contractor: Contact Person: <br /> Address: 13025 George Weber Dr#1 State License#: 061344-PM <br /> 12l31/2009 <br /> City; R°9e� Zlp: 55374 Expiration Date: <br /> Phone: (�63)428-1833 Alternate Phone: <br />