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. , <br /> 4 <br /> � <br /> � <br /> FOR C1TY USE ONLY <br /> ����'� City of Orono <br /> ;��O�\� P.O.Box 66 Date Received: Permit# <br /> � �n, ��` 3750 Kelley Parkway <br /> ��a �,1�' �`,"�` �) Crystal Bay,MN 55323 Approved By:(lf Required): <br /> �'��d� �`��' '�r.o�� (952)249-4600 <br /> .��oa`�� <br /> CITY OF ORONO—WATER METER FORM <br /> (*Note:Some permits may require approval by the Building Official ancUor Public Works Depanment*) <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 cal] ahead of time to make <br /> sure we received the fax,or to wam 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: .����7� �'����F�S�U,�� �� _ <br /> Owner:_U<� ��,J���y��.U� Mailing Address: �(�.�C�� /��/�J �. <br /> c�ry: p������,_ ��1�1 /� z;p: SryH� <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> / !i c � o <br /> Contractor: 1-S . (i,t� �..� Contact Person: _Scu`�( S����s�� <br /> L �' <br /> Address: �s7� �^�� ,�/... iV. State License #: � 6' f�C�'S <br /> City: ���� ,� p,� Zip:�"� Expiration Date: � '3� �- <br /> Phone: ��'��``��'-���U Alternate Phone: ���'. ��-J` �`3` <br />