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1 . <br /> FOR CITY USE ONLY <br /> �O�O City of Orono <br /> P.O.Box 66 Date Received: Permit# <br /> 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Approved By:(If Required): <br /> (952)249-4600 <br /> a � <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 /> 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 /> Site Address: � ? �� ��i � �c� <br /> � <br /> Owner: ���3 ScJ/� Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: ���� t.v��� p����� N�ontact Person: ��S � J��--� �` <br /> Address: ��(� �� ��� State License #: <br /> City: �r'i'�w�'b� Zip: 5�7� Expiration Date: <br /> Phone: 7G3 � �'�8� /��a" Alternate Phone: 7C 3 -3�� --�y8� <br />