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�� � <br /> FOR CITY USE ONLY <br /> ,;;���,�\ City of Orono <br /> r(/� �" P•O.Box 66 Date Received: Permit# <br /> � �, , ti� 2750 Kelley Parkway <br /> � �'��. r.�o�� (952)249-46 ON 55323 Approved By:(If Required): <br /> ���os, <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 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: � / �� ��,�f �n-tj7j ��. <br /> Owner: �- �� Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: Contact Person: �� <br /> i h <br /> Address: /'� —� - ��State License#: �� � 7� �����/<� <br /> ,� <br /> City: � , G' Zip:.���yExpiration Date: Z <br /> Phone: J��-�,J���/�� Alternate Phone: <br />