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' FOR CITY USE ONLY <br /> �O�O City of Orono <br /> P.O.Box 66 Date Received: Permit# <br /> 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Approved By:(If Required): <br /> (9�2)249-4600 <br /> � � <br /> S � <br /> `�� ��'� CITY OF ORONO —WATER METER FORM <br /> �KES H�� (*Note:Some permits may require approval by the Building Official and/or Public Works Department <br /> *� <br /> GENERAL INFORMATION <br /> l. 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 ly) <br /> ❑ Residential (May Require Approval) ❑ Commercial(Approvai Required) <br /> ❑ New Meter ❑ Additional Meter—For: ❑ Replacement Meter <br /> Job Site / Owner Information: <br /> � <br /> Site Address: �O5 ���� �'`S-� <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: 11 �� �� Y✓ Contact Person: �I�� <br /> Address: / �X �t�e License #: �/J � �7 � / <br /> City: � Zip: Expiration Date: <br /> Phone: ���1 - �$�t' S� �� Alternate Phone: <br />