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FOR CiTY USE ONLY <br /> �O�O City of Orono <br /> P.O.Box 66 Date Received: Permii# <br /> 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Approved By:(IfReqaired): <br /> (952)249-4600 <br /> ����k�. o��.�'� CITY OF ORONO—WATER METER FORM <br /> SH ote:Some ermRs ma re uire <br /> (N p y q 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 /> swe 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 /> �esidential(Ivbay Require Approval) ❑ Commercial(Approval Required) <br /> ❑ New Meter ❑Additional Meter—For: ❑ Replacement Meter <br /> Job Site/Owner Information: <br /> Site Address:��-! �� �G,�'`�-2�,�1 �T <br /> Owner: Mailing Address: <br /> City: �d�0 !/�� Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: 'JE',�`� � �c� c�t6.�'1.� Contact Person: � l � <br /> Address: ��� .��c�'� �} � State License #: �i'�! O � �� <br /> City: ' ���5��. Zip: Expiration Date: I� ��� '-! � <br /> Phone: �l� �`���S�� Alternate Phone: <br />