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� <br /> � - � <br /> . ' .�,c��� <br /> FOR CITY USE ONLY <br /> �a�� City of Orono ��J� � C' <br /> ��� ��� P.O.Box 66 DaTe Received: � � � Permit# ��� �� <br /> � �ti�� ;� 2750 Kelley Parkway � <br /> ,�� ���`,� �_ �i, Crystal Bay,MN 55323 Approved By:(If Required): <br /> � <br /> Y��o� (952)249-4600 <br /> ���o$ti� <br /> CITY OF ORONO—WATER METER FORM <br /> (*Note:Some permits may require approval by the Building Official and/or Public Works Department*) <br /> GENERAL INFORMATION <br /> 1. WATER METERS must be picked up and paid for at City Hall. <br /> 2. If possible,fax in this application ahead of time;we will then call you and let you know we have <br /> the water meter in stock. Fax Number: (952)249-4616. Also,you can call ahead of time to make <br /> sure we received the fax,or to warn us that the fax is coming. <br /> 3. WATER METERS must be set and sealed by Orono Water Department (952) 249-4600, <br /> upon completion of ineter installation. <br /> TYPE OF PERMIT <br /> Check All That A 1 <br /> �Residential (May Require Approval) ❑Commercial (Approval Required) <br /> � New Meter ❑ Additional Meter—For: � Replacement Meter <br /> Job Site/Owner Information: <br /> Site Address: � ( I g s t�A� ;'�LJ�p,� �� <br /> Owner: Mailing Address: <br /> City: 0(t.o�G Zip: <br /> Hame Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: LA��S���" P�ur�1g/n)� Contact Person: Uf�✓i� <br /> Address: 1•Z46�! Z/n%�o4N �✓E State License #: ��,�76� �Y�1 <br /> �3 7$ <br /> City: ��1✓AGE Zip: Expiration Date: CL 3( ��� <br /> Phone: �5�-`�`�"l -76G� Alternate Phone: <br />