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' �'. �i '��Vl': ai . . <br /> O Clty Of OCORO ' <br /> P.O.Box 66 #�13�iVed,;,,_,�„�ell�t��_,.,, , <br /> � �� 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 A�i�vc�i$3+:(tf�it�. ' <br /> (952)249-4600 <br /> �� �,�'� CITY OF ORONO-WATER METER FORM <br /> �kESH�4 (Note:Some permits may require approval by the Building Official and/or Public Works Department) <br /> GENE�L Ih1F'C7RM�TI(J�+1'` <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 /> `�r��!��;���� <br /> �3i��='�i 1� ° <br /> ❑Residential(May Require Approval) ❑Commercial(Approval Required) <br /> ❑ New Meter ❑Additional Meter—For: �'Replacement Meter <br /> �L)�s.5.'��/{�W�1����'�3ft, ,'. <br /> Site Address: � �� Gi �o�/ � <br /> Owner:/f29�i�S La�'S0�✓ Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> +��tr�c�8r:C��rn��ii�: <br /> Contractor: r Contact Person: ��`� ��C.��� � <br /> ��� � �� T 1�,,,a,i���� �c//�� G✓ ,Q,,,5 �e�/�j- <br /> � Addres�: State License#: �S��d�_y�q� <br /> City: Zip: Expiration Date: <br /> Phone: �Tol- �y�- 7q I 7 Alternate Phone: <br />