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Jul 30 14 10:08a Stewart Plumbing Inc. 763-428-1733 p.1 <br /> FO Cl�'Y USE O:YLY <br /> �O City of Orono ,/ / <br /> �O T'.0.Box 66 Date Received� �mit# � <br /> 2750 Kelley Parkway / <br /> Crystal Bay,A4N 55323 Approved By:([f Required): <br /> (952)249-460D <br /> � � <br /> .�y� ; <br /> �q'rfSH��E.� CITY OF'ORONd—WATER METER FORM <br /> (*Note:Some permits may require approva�by lhe IIuilding Official and/or PubGc Works Departrnent <br /> .� <br /> GENERAL iNFORMATION <br /> l. WATF,R METERS must be picked up and paid for at City Hall. <br /> 2. Ifpossible,fan in this application ahead of time;we will then calt you and let you know we have <br /> the water meter in stock. Fax Number:(952)249-4616. Also,you can call ahead oftime to make <br /> sure we received the fax,or to warn us that the fax is coming. <br /> 3. WATER M�TERS must be set and sealed by Orono Water Department (952) 249-4600, <br /> apon completion of ineter installatioa. <br /> TYPE OF PEfLNiIT <br /> (Check All That Apply) <br /> Residential(May Require Approval) ❑Commercial(Approval Required) <br /> U New Meter ❑ Additional Meter—For: ❑Replacertaent Meter <br /> Job Site/Owner Information: � <br /> Site Address: �t�� ��SCI� C �F�-C-�i, <br /> i c <br /> Owner: �� �C��� �.K� MaiiingAddress: J�+''�L <br /> City: ���'�C�) Zip: .-�� � .�� � <br /> Home Phone: Altemate Phone: <br /> Contractor Information: <br /> � C <br /> Cantractor: S��'r�-� t"LJ M�'�� i'�Cj Contact Person: �� I� <br /> Address: 1 7L�C'�� �:�% ���-�fitate License#: ���� �r� <br /> n <br /> � ( ��n �� x iration Date: <br /> City: — Zip: _ p <br /> Phone: ������ - ��`�� Alternate Phone: ��� �3����j � � <br /> - .� ►, ;� -- - <br />