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� �f� Y�� ����a1+1 1' � <br /> City of Orono � <br /> �� P.O.Box 66 I�G Rer�ived: ���#. ��., '�J' ; �l y �._. <br /> 0 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 App�ov��y;(�'A,�tirs+��: <br /> (952)249-4600 <br /> 1 �`�� �.�� CITY OF ORONO—WATER METER FORM <br /> ,t �'�ESH�� (Note:Some permits may require approval by the Building Official and/or Public Works Department) <br /> G�NE�tAL INFORh�ATIOAT <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 /> 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 /> , TY�'�O�'P�;R1�TT : <br /> Ch�ck AIl'T'hat <br /> � <br /> �Residential(May Require Approval) ❑Commercial(Approval Required) <br /> /�D1c�Meter ❑Additional Meter—For: ❑Replacement Meter <br /> (/ <br /> Ja� Si�e/Ov�n�r In�r�n�r�: <br /> Site Address: �f � �� C f � <br /> Owner: Mailing Address: <br /> City: ���'t� Zip: <br /> Home Phone: Alternate Phone: <br /> Co��racto��r�ormati4n: <br /> �C�/ ��c ��� <br /> Contractor: �Gc�S�o.� P/an.6��,.� Contact Person: � <br /> Address: `T�'� ��'t��0��� State License #: (� ��3��0 <br /> City: �<<''t=�G� Zip:.�.53��Expiration Date: ��'��"��� <br /> Phone: ���'�9"7-��� Alternate Phone: <br />