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FOR ITY SE ONLY <br /> �rj�'�� City of Orono ��j J/„ ���(� <br /> ��� � �� P.O.Box 66 Date Received� �Permit# <br /> ��, , ��' 2750 Kelley Parkway <br /> ���� �j����`r.'- ��� Crystal Bay,MN 55323 Approved By:(I£Required): <br /> �\�:p�:,.�`o� (952)249-4600 <br /> �R�x°�% <br /> CITY OF ORONO—WATER METER FORM <br /> (*Nate:Some permits may require approval by the Building Ofticial 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 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 comptetion of ineter installation. <br /> TYPE OF PERMIT <br /> Check All That A 1 <br /> � Residentiai (May Require Approval) ❑ Commercial (Approval Required) <br /> � New Meter � Additional Meter—For: � Replacement Meter <br /> Job Site /Owner Information: <br /> Site Address: ��J� ��������� �j V � <br /> Owner: Mailing Address: <br /> City: ���'U � Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: ��G� /�'(�� Contact Person: ►I�� ��\U �� <br /> Address: State License#: �(�5��� � '�/"I <br /> City: 1������L� Zip�7b Expiration Date: <br /> Phone: �'�� SCl'-'�7� Alternate Phone: <br />