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1 � <br /> . <br /> � <br /> FOR CITY USE:ONLY <br /> v O,¢��O City of Orono j ' /� � <br /> P.O.Box 66 Date Received: £�'����ermit#6r� <br /> 2750 Kelley Parkway <br /> � � ;.v� Crystal Bay,MN 55323 Approved By:(IfRequired): <br /> �_ ` sy (952)249-4600 <br /> �atsxo <br /> CITY OF ORONO—WATER METER FORM <br /> (*Note:Some permits may require approval by the Building Official and/or Public Works Deparhnent*) <br /> GENER.AL 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 ❑Addirional Meter—For: �Replacement Meter <br /> rob Site/Owner Information: : <br /> Site Address: Z�v � p/ <br /> Own� Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate-PYi'on`���/� `����// <br /> Contractor Inforrnation: <br /> Contractor;�t Contact Person: <br /> Address: �� r � � State License#: �J,��1��3��� <br /> City: i�� Expiration Date: _ � �. <br /> ,�,�T d <br /> Phone: Alterna�e�`�one: �� <br /> � <br />