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1 , . -� <br /> CIT E ONLY /� <br /> City of Orono / <br /> �-��O P.O.Box 66 Date Receive :�` Permit#�� <br /> 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Approved By:(If Required): <br /> (9�2)249-4600 <br /> � � <br /> y � <br /> F <br /> �q �G 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 /> 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 ply) <br /> ❑ Residential(May Require Approval) ❑ Commerciai(Approval Required) <br /> ❑ New Meter ❑ Additional Meter—For: � Replacement Meter <br /> Job Site / Owner Information: <br /> Site Address: � �S S ���� <br /> Owner: �3Y�'�C �ia �G, Mailing Address: �S l� � / �'�,-�� <br /> City: _����/�. Zip: �.SyC�S <br /> Home Phone: G�-2 `-'/ ��,�Alternate Phone: ` --"--- <br /> Contractor Information: <br /> Contractor: Contact Person: <br /> Address: State License #: <br /> City: Zip: Expiration Date: <br /> Phone: Alternate Phone: <br />