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• � � FOR C1TY USE ONLY <br /> ,�0� City of Orono <br /> O O P.O.Box 66 Date Received: Permit# <br /> �;;,,,,,,,, 2750 Kelley Parkway <br /> �a ��'S�;<}= �• Crystal Bay,MN 55323 Approved By:(If Required): <br /> � 1�F;�G ti <br /> ����.�o (952)249-4600 <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 vossible,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 instaliation. <br /> TYPE OF PERMIT <br /> (Check All That Apply) <br /> �Residential(May Require Approval) ❑ Commercial(Approval Required) <br /> �-��w Meter ❑Additional Meter—For: eplacement Meter <br /> Job Site / Owner Information: <br /> Site Address: -Z � S� ����, � <br /> Owner: av' c�a� Mailing Address: ���� • � I—�-�.,�f,,, <br /> City: �r�D Zip: ���0.�' <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 />