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1 � <br /> �3 �.�� <br /> FOR Y SE ONLY <br /> p City of Orono /J � �J <br /> 4 � P.O.Box 66 Date Received: /�ertnit# �G// U(/� / <br /> �yy,,�,,,�, � 2750 Kelley Parkway <br /> � ``���'' r Crystal Bay,MN 55323 Approved By:(If Required): <br /> ����o�,�i. (952)249-4600 <br /> 0 <br /> CITY OF ORONO—WATER METER FORM <br /> (*Note:Some permits may require approval by the Building 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 OF PERMIT <br /> Check All That A 1 <br /> ❑Residential(May Require Approval) ❑Commercial(Approval Required) <br /> ❑New Meter ❑Additional Meter—For: �eplacement Meter <br /> Job Site/Owner Information: <br /> Site Address: � /�� � � <br /> Owner: �'��i� Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> n <br /> �—//� � <br /> Contractor: C ntact Person: � <br /> Address: ��lJ����yhh�P ��' State License#: C f .�/LtJ — P^-� <br /> City: � Zip:� Expiration Date: ,�2�3�� ��/Z <br /> Phone: r����'I/rZ� Alternate Phone: <br />