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- FOR,CITY USE ONLY <br /> 0,,0 a_ City of Orono :L, „.„ ,.. ., <br /> "Y PO.Box 66 �ate'Recerved` PernSit#��'����� ��-'���7� <br /> "ain 2750 Kelley Parkway <br /> itt �r' L. Crystal Bay,MN 55323 Approved By.(If Required): <br /> �• (952)249-4600 <br /> o� <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 INFORMATION • <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 corning. <br /> 3. WATER METERS must be set and sealed by Orono Water Department (952) 249-4600, <br /> upon completion of meter installation. <br /> YPEbF PERMIT <br /> (Ch'ee'k'Mi.That.Apply) . . --- <br /> ❑ Residential(May Require Approval) ❑ Commercial(Approval Required) <br /> ❑ New Meter ❑Additional Meter—For: ❑Replacement Meter <br /> Job Site/Owner Information: <br /> Site Address: 875 WC1-e-iz -(-C 137u0/ <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor nforination: , / <br /> Contractor: Qs Gc cc e i //Ie Contact Person: L�(�DA-) 1� l <br /> Address: / 5.3-/l4/4-Sut- RO State License#: <br /> City: 3---(AK-DPLCL Zip S37C Expiration Date: <br /> • Phone: (01 a 3b3 D(156? Alternate Phone: <br />