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Af <br /> j <br /> FC <br /> �� ,u� P.City of Box Orono Date-Rec �' Permit=# 26 <br /> ` 2750 Kelley Parkway <br /> asJ, Crystal Bay,MN 55323 ApprovedBys(IfRequned): <br /> (952)249-4600 <br /> CITY OF ORONO–WATER METER FORM <br /> (*Note:Some permits may require approval by the Building Official and/or Public Works Department*) <br /> GENERAL lIff{JRMATION <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 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) 2494600, <br /> upon completion of meter installation. <br /> TYPE OF1PERIVITT <br /> `Cheek A;II'TIIat Apply-)-' ' <br /> 1 <br /> Residential(May Require Approval) Commercial(Approval Required) <br /> New Meter Additional Meter—For: Replacement Meter <br /> Job Site/Owner Information: <br /> Site Address: <br /> Owner:l!-2 2� Mailing Address: 00 e k F&Z ? <br /> City: /Cl^eL-eOC-IA Zip: <br /> Home Pho/nob S Z �� 9P Alternate Phone: �— <br /> Contractor Information: <br /> Contractor: ,contact Person: <br /> r <br /> Address: % r State License#: <br /> City: ,.zip: - Expiration Date: <br /> Phone: r` Alternate Phone: <br />