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_ ,, , <br /> E ; <br /> FOR CITY USE ONLY <br /> �'"'�� Cit of Orono <br /> �/¢O�\� P.O Box 66 Date Received: Permit# <br /> �/ _.�,.,._,, �`I 2750 Kelley Parkway <br /> � 11��r}`- !� Crystal Bay,MN 55323 Approved By:(If Required): <br /> ' ;� ��p a� (952)249-4600 <br /> ����� <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: �erfacement Meter <br /> Job Site/Owner Infoimation: <br /> � ��7�'t-L7 SS �3� � <br /> Site Address: ��-2 � �% ����.«�( ��' d � � �` <br /> Owner: �%���5`� � V �- Mailing Address: �����'�'�' <br /> City: Zip: <br /> Home Phone: � � 2 � � � �v� 2- Alternate Phone: � � 3 �-��� � � Z � <br /> Contractor Information: <br /> t� Vl <br /> Contractor: M��� �•,� U��S Contact Person: � �'�`�� <br /> Address: �� �d� S�uof y�'�'�� �`�State License#: <br /> City: v v`�"� Zip:s S 3� ,Expiration Date: <br /> Phone: G 3 �G 6 D(n Z <br /> �� � � Alternate Phone: <br />