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FOR CITY USE ONLY <br /> �O� City of Orono a� r� 1� ('� � / <br /> O P.O.Box 66 Date Received: Pertnit# -J / b d <br /> 2750 Kelley Pazkway <br /> Crystal Bay,MN 55323 Approved By:(IfRequired): <br /> (952)249-4600 <br /> y`��.�kFs oR�.�'� CITY OF ORONO—WATER METER FORM <br /> H (Note:Some permits may require approval by the Buildmg Official and/or Pubhc 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 Ap ly) <br /> esidential(May Require Approval) ❑Commercial(Approval Required) <br /> ❑ New Meter ❑Additional Meter—For: ❑ Replacement Meter <br /> Job Site/Owner Information: <br /> c, n � <br /> Site Address: � � l �S �S c'� �� �p � �1.�f���%�"7� �-�� � <br /> � � �� 3 /( ( <br /> Owner: f L k t � _ ,����,�Nlailing Address: � <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: Contact Person: <br /> Address: State License #: <br /> City: Zip: Expiration Date: <br /> Phone: Alternate Phone: <br />