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.� • . <br /> FO C USE UNLY <br /> �O� City of Orono /'� <br /> P.O.Box 66 I3a#e Receiv Pemtet# <br /> � 2750 Kelley Pazkway <br /> Crystal Bay,MN 55323 Approvcd Sy:(If R ire�: <br /> (952)249-4600 <br /> � � <br /> `� ��,�' CITY OF ORONO—WATER METER FORM <br /> �qkESN� (Note:Some permits may require approval by the Building Official and/or Public Works Department) <br /> GFNERAL TN�URMATIUN <br /> 1. WATER METERS must be picked up and paid for at City Hall. <br /> 2. If nossible,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 /> T'Y'PE C}F;PERMIT <br /> Check Ali That A 1 ' <br /> �Residential(May Require Approval) ❑Commercial(Approval Required) <br /> � New Meter ❑Additional Meter—For: ❑Replacement Meter <br /> xc�b Site 1 Owner Infvrmation: <br /> Site Address: � JGl✓1 �)�CS >'►� ���C �� <br /> Owner:��o ��y �U��U-fi'S Mailing Address: <br /> City: (�1��►�1- 0 Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: ' <br /> Contractor: ��S��o✓1 Q��^���►1(, .�hL Contact Person: ("tl ��--G_ <br /> Address: � l �� M�^�C�n�,L State License #: <br /> Lo..1/f yl� <br /> City: �� M,�hr,�l Zip:� Expiration Date: <br /> Phone: �� l ��� 7"����' Alternate Phone: <br />