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.,, ' <br /> .� <br /> FUR CTTY i7SE Q�ft�X <br /> ��A y� City of Orono <br /> +r P.O.Box 66 Date Received: Pemut# <br /> 2750 Kelley Pazkway <br /> Crystal Bay,MN 55323 Appmved By:(If�uired): <br /> (952)249-4600 <br /> ��, �,C' ' <br /> ��'�fSHd��` CITY OF ORONO—WATER METER FORM <br /> (Note:Some permits may require approval by the Building Official and/or Public Works Department) <br /> �3�''�"��.',������� ' <br /> 1. WATER METERS must be picked up and paid for at City Hall. <br /> 2. If possible,faac 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 malce <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 /> ' '�"YPE t�F`PERiViIT <br /> , Cl��.A��1"hat A' <br /> �Residential(May Require Approval) ❑Commercial(Approval Required) <br /> �New Meter ❑Additional Meter—For: ❑Replacement Meter <br /> �+D��1t�/��i'�T�'111&�1Ci�: ' <br /> � <br /> Site Address: <br /> Owner: Mailing Address: �/�7 �y�Q /1��1,�9� <br /> City: ���ii , , Zip: �� <br /> Home Phone: �'' r � Alternate Phone: <br /> �ti�tc�t'�c��^t�rt�#�a�3: ' <br /> Contractor: Contact Person: �L.Q <br /> Address: State License#: d✓� '1 <br /> City: �� Zip;�$� Expiration Date: � <br /> Phone: 7��i'� ` y Alternate Phone: <br />