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2007-06-1802�17 5072376201» +9522494616 p1/2 <br /> t � <br /> FOR(:ITY USE QNLY <br /> 4p�. City of Orono <br /> 'O O P.U.liux66 U91eReaived, PermilH ._, <br /> . 275U Kelltv Purkwuv <br /> �� ,.���• � Crystnl Bay,MN 55323 Approved By:(IFRequired): <br /> �.i. �i�� 14521249-46W <br /> e�w�' <br /> CITY OF ORONO—WATER MF,TER FURM <br /> l'Nvle:Sume permils mry rcyuire upproval by Ihe Nuilding I)I}icial and/or Puhlic Wurke TkpeM1mCnl`) <br /> (iEN�RAL INFORMATION <br /> 1. WATER METERS must be pickcd up and paid for at Ciry Hall. <br /> 2. l�ossible,fax in this applieation ahcad of timc;we will then call you and let you kuow we heve <br /> the water meter in stoek. Fex Numbrr:(952)249-4616. Also,you can coll ahead of time to make <br /> sure we received the fax,or to warn us that thc fax is coming. <br /> 3. WATER METERS muRt be xet and Realed by Oruno Water Department (952) 249-4600, <br /> upon completion of ineter iqetallation. <br /> TYPE OF PERMCr <br /> (Check All That Apply) <br /> ❑Residential(May Require Approval) �Commcrcial(Approval Requi�ed) j <br /> \ <br /> � New Me[er ❑Additiona!Metzr—For: � Replacement Mecer <br /> J�b Site/Owner lnformation: <br /> Site Address: 3799 casco ave wayzata mn 55391 <br /> Owncr: kenneth rennick Mailing Address: 32670 195th av <br /> ���y: new prague ��p: 56071 <br /> Home Phone: �952) 292-6429 Alternate Phone: �952) 292-6429 <br /> Contractor Information: <br /> C.ancractor: �s mechanical corey <br /> Contact Person: <br /> Address: 475 lake dr. State C,icense#: 005973pm <br /> City: W�nstead Z�P:55395 Expiration Datc: <br /> Phone: �952�649-82�3 Alternate Phone: �612) 366-5945 <br />