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. • <br /> FOR C1TY USE ONLY <br /> ,��� City of Orono <br /> P.O.Box 66 Date Received: Permit# <br /> �°` � 2750 Kelley Parkway � <br /> ���> r, i <br /> a ���'�!;�'- a.� Crystal Bay,MN 55323 Approved By:(If Required): <br /> �9� 1,��:;'�;;' �F <br /> \�y,�,;��r,,��o (952)249-4600 <br /> \$gg0$' <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�ossible, 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 VVater Department (952) 249-4600, <br /> upon completion of ineter installation. <br /> TYPE�OF PERMIT <br /> (Check All That A ply) <br /> ❑ Residential(May Require Approval) ❑ Commercial(Approval Required) <br /> ❑ New Meter ❑ Additional Meter—For: ❑ Replacement Meter <br /> Job Site / Owner Information: <br /> Z3 L � ��� ��` l�'�,�-��/, <br /> Site Address: , > %�� <br /> 'T -� <br /> Owne .J �G— � f�� Mailing Address: <br /> City: ���'j}��/ Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: Contact Person: � <br /> Address: State License #: <br /> City: Zip: Expiration Date: <br /> Phone: Alternate Phone: <br />