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r , _ • <br /> FOR ITY USE OIVLY <br /> 0 ,�` City of Orono ��� I�;1 <br /> O4 `YO P.O.Box 66 Date Received: 1� Permit# <br /> �,,t,V,,, 2750 Kellcy Parkway <br /> ��� J;.: A i oved B if Re uired <br /> � ��j�_-,-�; � Crystal Bay,MN 55323 PP' Y�� 9 )� <br /> ����i�..o` (952)249-4600 <br /> �$es�$�" <br /> CITY OF ORONO -WATER METER FORM <br /> (*note:Some permits may require approval Uy the Building OC6cial 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 Uossible, 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 wai7i us that the fax is conung. <br /> 3. WATER NIETERS must be set and sealed by Orono �Vater Department (952) 249-4600, <br /> upon completion of ineter installation. <br /> TYPE OF PERMIT <br /> (Check All That Apply) <br /> %�Residential(May Require Approval) ❑ Commercial(Approval Required) <br /> �New Meter ❑ Additional Meter—For: _ ❑ Replacement Meter <br /> Job Site/ Owner Information: �- <br /> 2 [ � <br /> Site Address: 2 � � �-��-` <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Inforrnation: <br /> Contractor: �_�i,��-�� � �- Contact Person: ��� � �'�� � <br /> Address: �3500 �I w�c�e�� State License #: <br /> City: ���<<S Zip: Expiration Date: <br /> P11one: �S t- �`l�]-u�"�1�� AlternatePhone: (,.S �- ?�� -���t�� <br />