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City of Orono <br /> P.O.Box 66 1 R�IpesiVai;t� <br /> Q 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 AppwW Illy:(If <br /> (952)249-4600 <br /> o4``G CITY OF ORONO—WATER METER FORM <br /> SHO (Note:Some permits may require approval by the Building Official and/or Public Works Deparimem) <br /> GENERAL WORMAnON <br /> 1. WATER METERS must be picked up and paid for at City Hall. <br /> 2. I_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) 249-4600, <br /> upon completion of meter installation. <br /> TYPE Off'PST` <br /> All ThO <br /> Residential(May Require Approval) ❑Commercial(Approval Required) <br /> ❑ New Meter ❑Additional Meter—For: Replacement Meter <br /> Job Site/O 11> : <br /> Site Addre s: ��� rC <br /> Owner: Mailing Address: <br /> City: Gt Zip: l� ivy lSS330 <br /> Home Phone: Alternate Phone: <br /> Col ftwtor Dation: <br /> Contractor: Contact Person: <br /> Address: State License#: <br /> City: Zip: Expiration Date: <br /> Phone: Alternate Phone: <br />