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FOR CITY USE ONLY CCity of Orono <br /> P.O.Box 66 Date Received: Permit# <br /> 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Approved By:(If Required): <br /> �x;.` c (952)249-4600 <br /> $w <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 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 OF PERMIT <br /> (Check All That Apply) <br /> Residential(May Require Approval) ❑ Commercial(Approval Required) <br /> SNew Meter ❑Additional Meter—For: ❑ Replacement Meter <br /> Job Site/Owner Information: <br /> Site Address: sS LJ t LS G-7(--( ef) <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: L);(...+0 f cs LNk1();'"IC., Contact Person: ( ;G r--rt- L_ct1Hit4e^ <br /> Address: P 0 oX 17 State License #: �S ' ''-t <br /> City: U. Lto rS, Zip:SS3�bExpiration Date: 2-13 i-- 07 <br /> Phone: %7- 1443 0034 Alternate Phone: 6,12 ` 4c70,- 'DS"? <br />