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Jan 0713 03:;i5p Stewart Plumbing In�. 763-428-1733 p.1 <br /> I <br /> + FOR C TY USC ONLY <br /> ` � City of Ocouo j � <br /> %Og��O"1 P•O.Box 66 Dabe Received:/7 ren,��c# ��3 a b� <br /> • �,�� �I 2750 KeUey Parkway <br /> i`� r"�.,' . �a'�; Crystal Bay,MN 55323 Approt�ed By:(►f Etequired): <br /> \��� (9�21249-4600 <br /> ,`` __� <br /> CITI' OF ORONO—WATER MET�R FORM <br /> (�'Nofe:Somc pcnnits may require approval by thc Building Oflicial and/or Public Warks Aepartrncnt') <br /> GENERA�L [NFO�tMATION <br /> I. WA3'ER METERS must be picked up and paid for at Ciry Hall, <br /> � 2. lf possible, fax in this appEication ahead of time;we will then call yau and let you kno�v we have <br /> the water meter in stock. Fa�c Number:(952)249-4616. Also,you can call ahead of time to make <br /> sure we received the fax,or to vvam us that the fax is coming, <br /> 3. WATER METERS must be set and sealed by Orono Water Department (952) 249-4600, <br /> upon completion of ineter installation. <br /> TYPE OF PERMl'F <br /> Check All That A l <br /> ❑ IZesidential (l��Eay Require Approval) �Commercial(Approvat Required) <br /> �New ilileter ❑ Additional Meter—For: []�Replacement Meter <br /> Job Site/Owner Information: <br /> � <br /> Site Address: �J l�`� (11��� �,,��l":.�Q, <br /> Owner: ��1�T�L`�lq Mailing Address: Gc,� b��`� ' �(.. <br /> City: �.'IF�n `YrC1��(�Z Zip: 553�1 <br /> Home Phone: Alternate Phone: <br /> Contractor]nformateon: <br /> Contractor: •��i.L��f� �I l;�tY���'fl I <br /> , �.�riC.Coniact Person: �1�r��-�C.'� C?,Y�(Y�(� <br /> Address: �1� ��� l^i'o!c e ;�.'�v �rState License #: L�`3�� <br /> � ` <br /> City: � � �(S Zip:� Expiration Date: M�i 31- �� <br /> , <br /> Phone: �1(�3-y��� ��3� Altemate Phone: <br />