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i � � <br /> �t I�E O��WLi' ' <br /> City of Orono /� <br /> �� P.O.Box 66 I3a�c R�i f,�� P+�at#.(��,� (/� <br /> � 2750 Kelley Parkway �� <br /> Crystal Bay,MN 55323 A�d T�y:(�'R,Fqttit�d�: ' <br /> (952)249-4600 <br /> �`��q �,�� CITY OF ORONO—WATER METER FORM <br /> kESH�R ote:Some rmits ma re uire roval b the Buildin Official and/or Public Works <br /> � Pe Y 9 ePp Y S Department) <br /> GENERAL TNFO�TIOi�T <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 Irnow we have <br /> the water meter in stock. Fax Number:(952)249-4616. Also,you can call ahead of time to make <br /> swe 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 /> ���P�`� <br /> �#CG�A���t f� <br /> (�Residential(May Require Approval) ❑Commercial(Approval Required) <br /> �,New Meter ❑Additional Meter—For: ❑Replacement Meter <br /> Joi�S��e/Owner It'�'o�a:a�tit�: <br /> /' .. ,r� <br /> Site Address: � J�� ��dt� ( <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Co��t�I��rm����: <br /> �n. � <br /> Contractor: ��c�5.6a ����� } �/�t�ontact Person: /"I '� <br /> Address: ��� !�'�c�.?.�_ ��{J�State License#: �C �4�gC'7� <br /> City: ��'+j�k�-� Zip�S39G Expiration Date: !a'3�^j � <br /> Phone: l76�^�{cl7—?1.��� Alternate Phone: 7�v3'�R'?^7S(g''G <br />