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� � �7 <br /> � ��� <br /> CIT USE ONLY / ���� <br /> City of Orono � ���/_ <br /> �O�O P.O.Box 66 Date Recei � Permit# "r <br /> 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Approved By:(lf Required): <br /> (952)249-4600 <br /> � � <br /> y � <br /> `�� �'� CITY OF ORONO-WATER METER FORM <br /> �kESH��� �*]�ote:Some permits may require approval by the Building Official and{or Public Works Department <br /> r� <br /> GENERAL INFORMATION <br /> l. 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 ply) <br /> ]�esidential(May Require Approval) ❑ Commercial(Approval Required) <br /> ( __ <br /> ❑ New Meter ❑ Additional Meter—For: ❑ Replacement Meter <br /> Job Site / Owner Information: <br /> � <br /> ' �c- <br /> Site Address: ����� f�il.`_�.��;1(��� <br /> r----�� , , �_ <br /> Owner: ����\ ��C�� Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: ��g '�1.�� \ � � _ --�"til,Contact Person: ���1� � �'J _ � <br /> � <br /> Address: `1�� �y�G(��,� State License #: ��<<-�� � �fn <br /> City: � ��� Zip:S`�3l(,: Expiration Date: <br /> Phone: ���~�-t�� �����> Alternate Phone: <br />