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. , � <br /> �'' <br /> City of Orono ` <br /> �� P.O.Box 66 � Pir�it� <br /> O 2750 Kelley Parkway <br /> crysra�sgy,MN 55323 A�p�ea�d�:(lf�: �._._, \ <br /> (952)249-4600 � /v <br /> ���q �.�� CITY OF ORONO-WATER METER FORM <br /> kFSH�4 (Note:Some permits may require apprmal by the Building Official and/or Public Waks Deparmxnt) <br /> C#��E�TE�?.1�L IIdFO�I�4�TIO�I <br /> 1. WATER METERS must be picked up and paid for at City Hall. <br /> 2. If possible,fax in this application ahead of tune;we will then call you and let you laiow 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 /> _ . . _ <br /> ''i Y�(�P�:�` <br /> �C All'1"� <br /> (�Residential(May Require Approval) ❑Commercial(Approval Required) <br /> � <br /> � New Meter ❑Addirional Meter—For: ❑Replacement Meter <br /> 3� S�e/O� �ttit�: <br /> Site Address: _ ��-3 S�a t���ti C:�ul` <br /> Owner: C'.��� C�� Go Mailing Address: /�Cs�v c�3c�a A�vt <br /> City: �P`�'I�� Zip: ��`�y� <br /> Home Phone: �r2-3�- ��3� Alternate Phone: <br /> Co�a.��.. <br /> Contractor: �R(o P��t--r���^� �� Contact Person: ►_ �� �+•�syv <br /> Address: l��$��- �� Sc> State License#: �C G4`I o�-1 b <br /> City: ��� Zip:�3 Expiration Date: tZ-�t-�� <br /> Phone: C��L T-Bz-so L� � Alternate Phone: <br />