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FOR CTTY USE ONLY <br /> �(�A rQ City of Orono <br /> <y P.O.Box 66 Date Received_ Permit# <br /> 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Approved By:(If Required): <br /> (952)249-4600 <br /> .� >. <br /> �2 � <br /> �� CITY OF ORONO-WATER METER FORM <br /> � <br /> ���5 H'a� <br /> ���„�_. (Note:Some permits may require approval by the Building Official and/or Public Works Department) <br /> GENERAL INFORMATION <br /> I. WATER METERS must be picked up and paid for at City Hall. <br /> 2. If nossible,faY in this application ahead of time;we will then call you and let you know we have <br /> the water meter in stock. Faa�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 /> [�New Meter ❑ Additional Meter—For: ❑ Replacement Meter <br /> Job Site/Owner Information: <br /> Site Address: —' � `� -� �.�C� ���/� <br /> Owner: � � Mailing Address: �/y�t� ��+.���.��,•_�o <br /> .� <br /> i <br /> City: / / �" Zip: '���� <br /> Home Phone: �`����-����/� Alternate Phone: <br /> Contractor Information: <br /> y� � <br /> Contractor: ��./.��.-�'y.��t'��-. Contact Person: � <br /> Address: ��< `���-z��� -�,�-, , <br /> � State License#: �/�G��y' <br /> City: i��.Qe�,�..i� Zip.�`�--�i5�Expiration Date: ����v�J�> <br /> Phone: i��'��"7�-?�� Alternate Phone: <br />