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♦ <br /> T1i�V�.�' <br /> City of Orono (� , .-, � � � � ���/ <br /> , � <br /> �O�O P.O.Box 66 �Rcc�iv .�' P+�rsn�c#�v� � � <br /> 2750 Kelley Parkway � <br /> Crystal Bay,MN 55323 A�prc�Sy:(If Ii�quicett�: <br /> (952)249-4600 <br /> ��`�kE o��'GZ CITY OF ORONO—WATER METER FORM <br /> S H (]�Tate:Some permits may require approval by the Buiiding Official and/or Public Works Department) <br /> G�NERAL iNFO�ATION <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 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 received 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 ineter installation. <br /> TYP�O�I'�Ri'�T'�" <br /> Check All'T'hat A <br /> �Residential(May Require Approval) ❑Commercial(Approval Required) <br /> � New Meter ❑Addirional Meter—For: ❑ Replacement Meter <br /> Job S�te/Owner Infflrm��ior�: <br /> SiteAddress: �`�� � u�L�, jSC,��c(,-- �.��..�� <br /> Owner: Mailing Address: <br /> City: �1�,�v a Zip: <br /> Home Phone: Alternate Phone: <br /> Contracto�Ir�fo�ation: <br /> Contractor: �- � ��y��,. . ��t--�'�Contact Person: ��i��S I�.��r���-v <br /> Address: `"���f J nn(t�.l�cc�ti�� C�'�Jc� State License #: �`7�� � �Z�1 <br /> City: �� - v1�i�cs.t Zip:�S 31v Expiration Date: <br /> Phone: �f�3�y�, ? -,�.,:�.�71 Alternate Phone: <br />