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. • <br /> FOR CI1'Y USE ONLY <br /> City of Orono � <br /> _.- ,;y,.�� . � , <br /> ���� P.O.Box 66 Date Received:L�ermit# -- ' .�� <br /> 2750 Kclley Parkway �� . �` <br /> Crystal Bay,MN 55323 Approved By:Qf Required): � <br /> (952)249-4600 <br /> yF �,� �'��iS 7� o�/d l�of' <br /> �q �, CITY OF ORONO —WATER METER FORM /� ,,,.� <br /> kESH�� (Note:Some permits may require approval by the Building Official and/or Public Works Depa�r r�� <br /> ,c��f-/iN1 • <br /> GENERAL INFORMATION <br /> L WATER METERS must be picked up and paid for at City Hall. <br /> 2. If nossible, 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 1 ) <br /> ❑ Residential(May Require Approval) ❑ Commercial(Approval Required) <br /> ❑ New Meter ❑ Additional Meter—For: ❑ Replacement Meter <br /> Job Site/ Owner Information: <br /> � ' <br /> Site Address: � � �9- <br /> Owner: � Mailing Address: <br /> �n � <br /> City: ��l C��(� Zip: � <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> � � � <br /> Contractor: �'1 '\ % �t,LitVj'Contact Person: �i'�`'�� �' `S� <br /> Address: State License #: <br /> City: Zip: Expiration Date: <br /> ` <br /> Phone: Alternate Phone: <br /> � � �� <br />