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FOR CITY USE ONLY <br /> City of Orono <br /> � �O�O\ P.O.Box 66 Date Received: Permit# <br /> �� 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Approved E3y:(If Required): <br /> � (952)249-4600 <br /> , �, ' <br /> � � � : <br /> F� j' CITY OF ORONO—WATER METER FORM <br /> �KF�F���� (*IYote:Some permits may require approval by the Building Official and/or Public Works Departmcnt <br /> #) <br /> GENERAL INFORMATION <br /> l. WATER METERS must be picked up and paid for at City Hall. <br /> 2. I�ossible,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 cail ahead of time to make <br /> sure we received the fax,or to warn us that the faY 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 /> � ` <br /> Job Site/Owner Information: <br /> Site Address: ��� ��j�� ��• �da� <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: �r� Contact Person: �ll�i� <br /> Address: ���'U r�a�D_�� �State License#: Sy� � 3 <br /> City: ��c �� Zip: 5��3 �Expiration Date: �a ' �� � �� <br /> Phone: {�lZ- 3�3 - l�%'� ,3�3 6� 5/ <br /> Alternate Phone: 6/a � <br />