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. , . <br /> FUR CiTY USE O1V�.Y <br /> �O A rO City of Orono <br /> f y P.O.Box 66 Ilate Received: Pet�nit# <br /> 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Approved By:(ff Rcquired); <br /> (952)249-4600 <br /> ���-9,�E o���'Z CITY OF ORONO—WATER METER FORM <br /> S H (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 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 O�PERMIT <br /> Check All That A l <br /> ❑ Residential(May Require Approval) ❑ Commercial(Approval Required) <br /> ❑ New Meter ❑Additional Meter—For: �Replacement Meter <br /> Job Site/Owner Information: <br /> Site Address: 3`�cj� ���i,� rQ/ <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Coniracto�Informatian: <br /> � <br /> Contractor: ���� rU���., �_r _►=<�c Contact Person: ���y <br /> Address: t��-z C'Y. �3 c � State License #: �.3'�r�� !�� <br /> City: t,•-�--r���� Zip�.�" Expiration Date: l,'1-��/ " �� <br /> Phone: �%S`,L -3���� �`t'u-� Alternate Phone: <br />