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� <br /> Q,� �O City of Orono ������� ' /�/% <br /> � P.O.Box 66 UStC R�ceiv�� � ' Pemtit#����„ C/C/�/ <br /> 2750 Kelley Pazkway <br /> �ii r� Crystal Bay,MN 55323 AppmYed By:(IPRequit`ed): <br /> (952)249-4600 <br /> �a,a�O <br /> CITY OF ORONO—WATER METER FORM <br /> (*Note:Some permits may require approval by the Building Official and/or Public Works Departrnent*) <br /> GEl�]ERAL INFORMATIQN <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 lrnow 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 /> ' TYFE�F PERMFT <br /> Cheek Al1 That A 1 <br /> ❑Residential(May Require Approval) ❑Commercial(Approval Required) <br /> ❑New Meter �Additional Meter—For: �Replacement Meter <br /> Job Site/Uwner Information: <br /> Site Address: � I l � J�d r��YIC� �r 1 V e, <br /> Owner: Q� q� Mailing Address: <br /> _ J <br /> c��: ��.(' z�p: 5J�� <br /> Home Phone: Alternate Phone: <br /> Contractar Infarmation: <br /> Contractor: Contact Person: <br /> Address: State License#: <br /> City: Zip: Expiration Date: <br /> Phone: Alternate Phone: <br />� a - l���� � s� <br /> I���r �.s <br /> �.l�t.� . '�i��o 9 <br />