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. � J ��5�-. <br /> . � <br /> �� <br /> FOR CITY USE ONLY <br /> ,��� City of Orono � � <br /> � � P•O.Box 66 Date Received: Permit# <br /> �;,,� 2750 Kelley Parkway <br /> a ��'�;'s, � Crystal Bay,MN 55323 Approved By:(If Required): <br /> \�t 4�l�t,, tiF <br /> �t����;�.�o (952)249-4600 <br /> �c�Ko <br /> 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: � � � S ��r s c� � �r. �u� <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractar: S�'J��;" � ���''"� `'"`� Contact Person: J�c", fi c�� S�� (��-- <br /> Address: State License #: <br /> City: /�d �-- � Zip: Expiration Date: <br /> Phone: �b j' yl�- /�3 3 Alternate Phone: <br /> � �� <br />