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� <br /> � <br /> . <br /> FOR CITY USE ONLY <br /> % City of Orono �,, 7 / <br /> �-��� P.O.Box 66 Date Received: ��� �� ���ermit# �.�-� I�T '���� � `_� �� <br /> 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Approved By:(If Required): <br /> (9�2)249-4600 <br /> � � <br /> y � <br /> F G� <br /> CITY OF ORONO–WATER METER FORM <br /> `�KES H��� (*Note:Some permits may require approval by the Building Official and/or Public Works Department <br /> *� <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 Apply) <br /> �Residential (May Require Approval) ❑ Commercial(Approval Required) <br /> �] New Meter ❑ Additiona] Meter—For: ❑ Replacement Meter <br /> / � <br /> Job Site/ Owner Information: <br /> , <br /> Site Address: v � ' <br /> Owne���� �v/ �l ���/Yl/eo'I Mailing Address: <br /> City: d Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: / �����(� �'i��i�/�+,�c/���. Contact Person: �w� ���r a�i�C;�� <br /> �l, <br /> �l � <br /> Address: �(J( ' � C�_ State License #: � `� <br /> City: ��i� Zip.��xpiration Date: /���� (Ci' <br /> —� <br /> Phone: �/� � �-� Alternate Phone: <br /> ��� <br />