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J <br /> / <br /> . � <br /> rr—_ , FOR CITY USE ONLY <br /> �����l� City of Orono 5/r� � �7 G,( b ��( 3 <br /> i y � P.O.Box 66 Date Received: ermit# l� � <br /> %` 2750 Kelley Parkway �- <br /> Crystal Bay,MN 55323 Approved By:(If Required): <br /> � (952)249-4600 � �� � <br /> „{ � ,i <br /> �y� � !1 <br /> .�,���H`���� 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 /> I. WATER METERS must be picked up and paid for at City Hall. <br /> 2. Ifpossible,fax in this application ahead of time;we will then call you and let you know we have <br /> the water meter in stock. FaY 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: ❑Replacement Meter <br /> Job Site/Owner Information: <br /> -� ✓��,��?,��1'�f� � ��-� <br /> Site Address: �y��i� <br /> Owner:�,c�-zrG���/`�L�/Cc��ailing Address: ����� ��������i"�(�L� <br /> City: /����..L���G���� p: �� <br /> Zi � <br /> Home Phone: ��j� `��J ��U,jr� Alternate Phone: ��� <br /> Contractor Information: <br /> , � <br /> Contractor: � ��1Contact Person: � � <br /> Address: �l ��� ,L�State License#: � `- l <br /> City: ����'�-, Zip� Expiration Date: �� �j � � <br /> Phone: �����6� -'��� Alternate Phone: �j� ��`'!�/� <br />