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� . . . <br /> �'U�t CT3'Y US�U1�1LY <br /> O,¢p�O City of Orono ,�j � a��p <br /> P.O.Box 66 Date I�ceeiucFd;?'+�� • Asrmit# J�,� <br /> 2750 Kelley Parkway <br /> � ;. ., � Crystal Bay,MN 55323 Appraved By:(if lt�quireti): - <br /> �� (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 Deparhnent*) <br /> GENEI�AL�1FQRIVIATIt�N ' <br /> 1. WATER METERS must be picked up and paid for at City Hall. <br /> 2. If possible,fax in this applicarion 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 C�F;P�I�I�iIT <br /> Cheek A11 That A 1 <br /> ❑Residential(May Require Approval) ❑Commercial(Approval Required) <br /> �] New Meter ❑Additional Meter—For: ❑Replacement Meter <br /> Job Site/Uwzier Information: <br /> Site Address: � L �'o ��Q�yc�.�a� C`� �� <br /> Owner: Mailing Address: <br /> City: d r o h o Zip: <br /> Home Phone: Alternate Phone: <br /> �ontractor�c��nation: <br /> w�s'foh ►�50. me c <br /> Contractor: C��+� ��'� Contact Person: ���k ar e1 nrbr r�sd�. <br /> Address: ��'� C"r� �� f S State License#: <br /> City: �o u�d Zip:SS31d-/ Expiration Date: <br /> Phone: �l SZ-��z� 4 qs Q Alternate Phone: (ol��Zo�- 2 8 9 2- <br />