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�` �- <br /> •� <br /> City of Orono <br /> �� P.O.Box 66 Dat¢lt�aVai:� g��t�� � <br /> � 2750 Kelley Parkway <br /> Crystal Bay>I�IId 55323 A�sa�d Hy;(�' <br /> (952)249-4600 <br /> �� G� <br /> qkESH04�" CITY OF ORONO—WATER METER FORM <br /> (Note:Some pecmits may require approval by the Building Official and/or Public Wotks Depar�t) <br /> � '�E�.,�F���►�� <br /> 1. WATER METERS must be picked up and paid for at City Hall. <br /> 2. I�ssible,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 sesled by Orono Water Department (952) 249-4600, <br /> upon completion of ineter installation. <br /> `3''Y£�C�F P�I�iA�TT : <br /> �Al�'T� <br /> ❑Residential(May Require Approval) ❑Commercial(Approval Required) <br /> �A1ew Meter ❑Additional Meter—For: ❑Replacement Meter <br /> Job S�e/ �: <br /> Site Address: _1�1 Z o �J�ac�� t,► br�C� �C� <br /> Owner: L C Q�.w�E� /�Na.�Sl�e rqe� Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Cca �on: <br /> Contractor: �Y��� t��Wl��'r� Contact Person: �i w1 ����`,it. <br /> Address: 71 a�S o��6� �5-� State License#: (�w1 p(o,�ol�{tp <br /> �� <br /> City: ��'� Zip:553�5—Expiration Date: � <br /> Phone: 3�-Q���f6610 Alternate Phone: <br />