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Ff)Tt FUSE ONLY 5 <br /> O City of Orono /a <br /> Q .� P.O.Box 66 DatelZeColG1�t <br /> 2750 Kelley Parkway <br /> Crystal Bay,MN 55323pproueB Ret{utrsd) <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 /> 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 /> F <br /> ❑Residential(May Require Approval) Commercial(Approval Required) <br /> ❑New Meter Additional Meter—For: Replacement Meter <br /> Jai Site l�vvnei`I�ifcit�on. .' <br /> Site Address: a7a5 l.tJr�1! 2w' ✓d <br /> Owner: �� C-OM00A;cS ' Mailing Address: <br /> City: 44 Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Infor�a`ti�n: <br /> Contractor: V�r�� �lv,n��,`n�7 Contact Person:/ <br /> Address: �� 15-'� �fis` S�`7/ State License#: <br /> City: c ; (.0 t� Zip: 55313 Expiration Date: 3110V <br /> Phone: l��-g 3 g-�Ja� Alternate Phone: -?020 <br />