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� . ,. <br /> F'U CIT USE QN�Y <br /> City of Orono �" <br /> g-O� P.O.Box 66 Date Receiv��S_��permii#o�Z�/tp'� I� � <br /> 0 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Approved By:(If I�equiced): <br /> (952)249-4600 <br /> ���q,�E o��.�� CITY OF ORONO-WATER METER FORM <br /> S H (rlote:Some permits may require approval by the Buiiding Official and/or Public Works Department) <br /> GENERAL INFORMATION <br /> 1. WATER METERS must be picked up and paid for at City Hall. <br /> 2. I�ossible, 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 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 /> TYPE(3F PERMIT <br /> Ch�cic All T'hat A 1 <br /> �esidential(May Require Approval) ❑Commercial(Approval Required) <br /> New Meter ❑Additional Meter—For: <br /> ❑ Replacement Meter <br /> Job Site/Oumer Information: <br /> Site Address: �� � �(,�,�„t� <br /> Owner: ( C��✓� OS���`Z Mailing Address: <br /> City: ��Il�� Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: �f��PSIG�'� ��� -�� Contact Person: ��5 <br /> Address: �-{�}�( � ,v�2f2 �- State License #: ���� �( <br /> City: �V�tr(/��e./I Zip:���PExpiration Date: <br /> Phone: Alternate Phone: ��P3���"-��� <br />