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City of Orono FOIFt PITY USE ONLY <br /> r� l� <br /> <V P.O.Box 66 Date Received: � U\� Permit# <br /> 2750 Kelley Parkway V <br /> Crystal Bay,MN 55323 Approved By:(If Required): Ofv <br /> (952)249-4600 <br /> y14, Es o��G CITY OF ORONO—WATER METER FORM <br /> H (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) 9commerci (Approval Required) <br /> ❑ New Meter Additional Meter—For: --r o.A ❑ Replacement Meter <br /> Job Site/Owner Information: <br /> Site Address: � ��� a/ <br /> Owner: Ae�—IlclMailing Address: <br /> City: 6) Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: U ! _ Contact Person: <br /> Address: C <P Z State License #: <br /> City: G ,�Zip:.gZ!j� Expiration Date: <br /> Phone: a��v Alternate Phone: <br />