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� <br /> r <br /> FOR CITY USE ONLY <br /> ,�` City of Orono <br /> 4O`�' P.O.Box 66 Date Received: Permit# <br /> ��k,, � � 2750 Kelley Parkway <br /> a �j�?1�;r;ry � Crystal Bay,MN�5323 Approved By:(If Required): <br /> ��++�,��"�i��o` (952)249-4600 <br /> saxo$ <br /> CITY OF ORONO -WATER METER FORM <br /> (*Notc:Some permits may require approval by the Building OYficial 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 Uossible, fax in tlus application ahead of time;we will then call you and let you lalow 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 wat7i us that the fax is conung. <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 Apply <br /> [�Residential(May Require Approval) ❑ Commercial(Approval Required) <br /> ❑ Ne�v Meter ❑Additional Meter—For: ❑ Replacement Meter <br /> Job Site/ Owner Infoimation: <br /> Site Address: �8 2 �rr al 9�� �"� <br /> Owner: �-���- 9�� Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: �vl�O�ft t"lulik���� Contact Person: <br /> Address: ��� ��� ���State License #: <br /> City: � �"��-�ip: Expiration Date: <br /> Phone: � �o� -�6-�-3�7� Alternate Phone: <br />