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. i <br /> FOR CITY USE ONLY <br /> O,�p�O City of Orono <br /> P.O.Box 66 Date Received: Permit# <br /> �,,,,,� 2750 Kelley Parkway <br /> ��yr1�,''� Crystal Bay,MN 55323 Appmved By:(If Required): <br /> }o�� (952)249-4600 <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 nossible,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 wam 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: <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: { Alternate Phone: <br /> Contractor Information: <br /> Contractor: Contact Person: <br /> Address: State License#: <br /> � <br /> City: Zip: Expiration Date: <br /> Phone: Alternate Phone: <br />