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. . q��� <br /> � <br /> ' FOR CITY USE ONLY <br /> ���� City of Orono <br /> P.O.Box 66 Date Received: Permit# <br /> 2750 Kelley Parkway <br /> Crystal Bay,MN 553?3 Approved By:(If Required): <br /> (9�2)249-4600 <br /> � � <br /> y � <br /> F � <br /> �qK�SHo��� CITY OF ORONO-WATER METER FORM <br /> (*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 ❑Additional Meter—For: ❑ Replacement Meter <br /> Job Site / Owner Information: <br /> , <br /> — , r <br /> Site Address: - ��� ��� <br /> < < <br /> Owner: (��1 ��J�� Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> .-� 1 I�/,�' <br /> Contractor: � � � ��- Contact Person: L� `' `r K�' � /�-- <br /> � <br /> Address: ���� ����- ��f���• State License #: (��(�������� <br /> City: ��� � � Zip:r1��(�,Expiration Date: <br /> Phone: ���'���'(� -���� Alternate Phone: ��� � �����I �- ���(.� <br />