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FOR CiTY USE ONLY <br /> ,�` City of Orono <br /> O�O`vO P.O.Box 66 Date Received: Permit# <br /> �ti�.;,,,_ 2750 Kelley Parkway <br /> a �' C stal Ba ,MN 55323 Approved By:(If Required): <br /> �Il`-' >;�,- �' ry Y <br /> yit+ ����+i���a~ (952)249-4600 <br /> �$axa <br /> CITY OF ORONO —WATER METER FORM <br /> (*Note:Some pemiits may require approval Uy the Building OCTicial and/or Public Works Deparmient*) <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 lcnow we have <br /> the water meter in stock. Fax Number: (952)249-4616. Also,you can cali ahead of time to make <br /> sure we received the fax, or to wani 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 Ap ly) <br /> � <br /> ,�Residential(May Require Approval) ❑ Corrunercial(Approval Required) <br /> �New Meter ❑ Additional Meter—For: ❑ Replacement Meter <br /> Job Site /Owner Information: <br /> � -:: ; � <br /> Site Address: , S .� ;',� � �;; �< -���� �rl <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: �/����?� �����t Contact Person: <br /> Address: `/ State License #: <br /> City: l�U�/��f(h�� Zip:�'�iExpiration Date: <br /> Phone: (��7����� Alternate Phone: <br />