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� �. , <br />� Filli CITY T:FSE(�NLY <br /> ����0 City of Orono <br /> P.O.Box 66 Datc Receivod: ' Pertttit#' <br /> 2750 Kelley Pazkway <br /> � '' r ' Crystal Bay,MN 55323 A�pmved T3y:(IfICet�uiredj'€ <br /> �` be (952)249-4600 <br /> •,o� <br /> CITY OF ORONO—WATER METER FORM <br /> (*Note:Some permits may require approval by the Building Official and/or Public Works Department*) <br /> :CxENERAL ZNFOR1vIATIC.��+t <br /> 1. WATER METERS must be picked up and paid for at City Hall. <br /> 2. If nossible,faac in this application ahead of time;we will then call you and let you lrnow 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 fJ�PERMIT <br /> Checl�AIl That A 1 <br /> ❑Residential(May Require Approval) ❑Commercial(Approval Required) <br /> ❑New Meter ❑Additional Meter—For: �Replacement Meter <br /> Job Si�e f�wner Inf'ormatic�n: <br /> Site Address: 3-5�� �L lJ�/ ��G�Cr� <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Co�iractor Tnformati4n: i <br /> Contractor: V l^L �P i t,. �U/'1�% Contact Person: (Jb L r,J�7Gt h N� <br /> � b <br /> A d d r e s s: ��`����7 4 S t a t e L i c e n s e#: b v� <br /> City: ��'� r� Zip:/` Expiration Date: �Z' _��— �� <br /> Phone: �Z ��� �.3�- Alternate Phone: (�Z �CCG ' Z�S7 <br />