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� • '4 <br /> FO CI Y USE OPILY � <br /> ///�"����`� City of Orono �2 / ,,, �,� <br /> �� `rO�` P.O.Box 66 Date Received: � Permit# �OI � <br /> � 'I 2750 Kelley Parkway <br /> �.. ... <br /> 1'�� <br /> �� 1�� -;� -�! Crystal Bay,MN 55323 Approved By:(If Required): <br /> `\ �' r%:,+�,o` (952)249-4600 <br /> '\�g"_.._H�e. <br /> CITY OF ORONO—WATER METER FORM <br /> (*Note:Some pennits 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 ineter installation. <br /> TYPE OF PERMIT <br /> Check All That A 1 <br /> ❑ Residential (May Require Approval) ❑ Commercial (Approval Required) <br /> � New Meter ❑ Additional Meter—For: � Replacement Meter <br /> Job Site/Owner Information: <br /> Site Address: l <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: �� L.CJ`t,S���b'Eontact Person: ����� <br /> Address: ��� E3tr'1f�,�L.i��State License#: <br /> City: O�U�� Zip:Gi?� �E piration Date: <br /> Phone: �7���(� " �'7 OU Alternate Phone: <br />