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' � FOR C1TY L'SE ONLY <br /> O,�p�O City of Orono <br /> P.O.Box 66 Date Received: Permit# <br /> �;�,,�„� 2750 Kelley Parkway <br /> � �'`'?�;�� F Crystal Bay,MN 55323 Approved By:(If Required): <br /> ������f��o` (952)249-4600 <br /> a <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. Ifpossible,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. VVATER METERS must be set and sealed by Orono VVater Department (952) 249-4600, <br /> upon completion of ineter installation. <br /> TYPE OF PERMIT <br /> (Check All That Apply) <br /> �Residential(May Require Approval) ❑ Commercial(Approval Required) <br /> �New Meter ❑Additional Meter—For: ❑ Replacement Meter <br /> Job Site/Owner Information: <br /> .✓ _ <br /> Site Address: � — <br /> Owner: �G ��,�,� Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: � Contact Person: <br /> Address: �z./��.�--�..,�1(� State License#: ���7.3j�� �%'I <br /> City: � Zip:s>�f��Expiration Date: /L � �� <br /> Phone: `��� -��3,3U� Alternate Phone: � 7l3��'�yj�'��' <br />