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f --'�. <br /> �/��07 <br /> o z �T t�SE oNLY �a�s <br /> /������ City of Orono <br /> l' � ��, P.O.Box 66 Date Received: it#a i�� <br /> ��/��. ��ii 2750 Kelley Parkway <br /> ��� ����` :� �� Crystal Bay,MN 55323 Approved By:(If Required): <br /> V\� '+ � ,��o� (952)249-4600 <br /> ��tssco. <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. Ifpossible,fax in this application ahead of time; we will then cal]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 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: ���v � �e-��n��=�k (�;�-� <br /> Owner: �t>h�ra���� k�.��-S Mailing Address: _ �,���S �-J�z.�i�k �Iv� C. <br /> City: �z �-f!� Zip: 5 5 3�� I <br /> Home Phone: Alternate Phone: �7`��- `-1"1; - ,�v�j`=� <br /> Contractor Information: <br /> Contractor: ������ ���t. Contact Person: ����'�-� J�����=�v,'� <br /> Address: 1� � �. �� e:, -1- t�ve S�� State License #: �{��- �vC���11t�ivl <br /> City: ������� Zip:�/l,��1 Expiration Date: I,�- 3�- 1 :� <br /> Phone: `�>;13 Alternate Phone: <br />