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�$CTT�►'USE ONLY � <br /> City of Orono (�11s�lt`�/ `l� <br /> �-��� P.O.Box 66 Date Received� ���-ermit# �l� <br /> 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Approved By:(]f Required): <br /> (952)249-4600 <br /> «� y. <br /> � � <br /> `� � CITY OF ORONO-WATER METER FORM <br /> `qkfSH��� <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 nossible,fax in this application ahead of time;we will then call you and let you know we have <br /> the water meter in stock. F�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 1 <br /> �Residential(May Require Approval) ❑ Commercial(Approval Required) <br /> [X�,New Meter ❑Additional Meter—For: ❑ Replacement Meter <br /> Job Site/Owner Information: <br /> Site Address: ..."'f�/G�"� ���r������?i '�`'''�� <br /> Owner�,���� i����1.s,,� Mailing Address: �'�,�/�,��-P ,�.�.A,���-�� <br /> City: Zip: �� <br /> Home Phone:���-��-��'�� Alternate Phone: <br /> Contractor Information: <br /> � <br /> Contractor: - �'�ontact Person: �� - <br /> Address: �`� State License#: � � <br /> City: '�=z-��+..� Zip:j�� Expiration Date: ��.� ` - � � <br /> Phone: ``'�-��� '�l��'�7 Alternate Phone: <br />