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Stewart Plumbing, Inc. 7634281733 p.1 <br /> OR <br /> K USE ONLY � <br /> aY�� <br /> ��N0 O BoXof O66Y0� <br /> Date Recei d: � Pcrmit f1w v v <br /> 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Approved By:(If Required): <br /> (952)249-4600 <br /> .KFsr+(Atte- <br /> c. CITY OF ORONO—WATER METER FORM <br /> (Nate:Some permits may require approval by the Building Official and/or Public Works Department) <br /> GENERAL INFQRMATION <br /> 1. WATER METERS must be picked up and paid for at City Hall. <br /> 2. If possible,fax in this application ahead of time;we will then call you and let you know we have <br /> the water meter in stock. Fax Number.(952)249-4616_ Also,you can call ahead of time to make <br /> sure we recreived the fax,or to warn 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 meter installation. <br /> TYPE OF PERMIT <br /> (Check All That Apply) <br /> 0 Residential(May Require Approval) D Commercial(Approval Required) <br /> 0. New Meter 0 Additional Meter-For. 0 Replacement Meter <br /> Job Site/Owner Information: <br /> Site Address: f nn <br /> 57 o 6sco P-I- tcI <br /> Owner: /ME 4(4- Mailing Address: S10 Casco Pfrd <br /> City: Orono Zip: x`5-39 <br /> Home Phone: Alternate Phone: <br /> Contractor Infotimation: <br /> �u Zh <br /> Contractor: ��+4" �t�n/k�1 �� Contact Person: <br /> Address: 30Ac 601 weir( dr State License#: Pir1O4131 <br /> City: erS Zip:5S37L Expiration Date: <br /> Phone: 763! 8-/R33 Alternate Phone: <br />