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a 1 <br /> FOR C1TY USE ONLY <br /> ,;;¢�j��* City of Orono <br /> t�� �� P'O.Box 66 Date Received: Permit# <br /> �;, � 2750 Kelley Parkway <br /> ��� 1�`' �`," ��� Crystal Bay,MN 55333 Approved By:(IfRequired): <br /> �'.6 �} ♦ <br /> �,�rr'o$`� (952)249-4600 <br /> \`aric <br /> CITY OF ORONO—WATER METER FORM <br /> (*Notc:Some permits may require approval by the Building Official and/or Public Works Department*) <br /> GENERAL 1NFORMATION <br /> 1. WATER METERS must be picked up and paid for at City Hall. <br /> 2. If�ossible,fax in this application ahead of time;we wi11 then call you and let you know we have <br /> the water meter in stocl<. Fax Number: (952)249-4616. Also,you can cal] 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 /> Site Address: 3�`�--� �Sc4 � � <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: SpP/!'(G) �� Contact Person: r►�C:r�c-�{ <br /> Address: //y 73 ��ia�,��'ov_,T State License #: C+(r��0�7 t�A�'� <br /> City: ,i � ;i,c Zip:SS YY� Expiration Date: <br /> Phone: 7�0.3 �o /� 7�(O �J Alternate Phone: <br />