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4 � <br /> EOR CTTY LiSE ONLY <br /> O4 p�O City of Orono �}!� 0 7J7 C� <br /> P.O.Box 66 Date Receive��Permit# !/1�/`7 <br /> 2750 Kelley Parkway <br /> a � 'q- � Crystal Bay,MN 55323 Approved By:(If Required): <br /> �e `'�''. '. o` (952)249-4600 <br /> ��oa� <br /> CITY OF ORONO—WATER METER FORM <br /> (*Note:Some permits may require approval by the Building O�cial and/or Public Works Department*) <br /> GENERAL INFORMATION <br /> 1. WATER METERS must be picked up and paid for at City Hal(. <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. Falc Number:(952)249-4616. Also,you can call ahead of time to make <br /> sure we received the fa�c,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 iastallation. <br /> TYPE OF PERMIT <br /> Check All That A 1 <br /> ✓Q Residential(May Require Approval) ❑Commercial(Approval Required) <br /> �New Meter �Additional Meter—For: �Replacement Meter <br /> Job Site/Owner Information: <br /> Site Address: 2933 Casco Point Road <br /> Owner: Farwell Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: 2 Guys P/H Inc Contact Person: Andy <br /> Address: 208 Capital Dr State License#: 6622462 <br /> Buffalo 55313 12/31/2009 <br /> City: Zip: Expiration Date: <br /> Phone: (�63)498-8019 Alternate Phone: (612)267-0621 <br />