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� . <br /> � ' <br /> FOR CITY USE ONLY <br /> �O�O City of Orono <br /> P.O.Box 66 Date Received: Permit# <br /> 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Approved By:(IfRequired): <br /> (9�2)249-4600 <br /> � � � <br /> y � <br /> F �,� <br /> CITY OF ORONO-WATER METER FORM <br /> `�KES H��� (*Note:Some permits may require approval by the Building Official and/or Public Works Departmen[ <br /> �� <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 completion of ineter installation. <br /> TYPE OF PERMIT <br /> (Check All That Apply) <br /> �esidential (May Require Approval) ❑ Commercial(Approval Required) <br /> �Iew Meter ❑ Additional Meter—For: ❑ Replacement Meter <br /> Job Site / Owner Information: <br /> Site Address: �� y S �-T��,���'l-� C v U-� <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: � Alternate Phone: <br /> Contractor Information: <br /> � <br /> Contractor: ��� S L � ��'� l� Contact Person: � � �� ' <br /> Address: ��� S (���r��-r'�� -�� State License #: � � � U � U <br /> City: � �Y�� Zip:���S7 Expiration Date: �2- 3 � l`� <br /> Phone: �'��3��� -S�v� Alternate Phone: �%`���C <br />