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t. <br /> s� <br /> FOR CITY USF ONLY <br /> ,��� City of Orono <br /> � � P.O.Box 66 Date Reccived: Permit# <br /> �,.H.. 2750 Kelley Parkway <br /> a �1�'�;�_�'. � Crystal Bay,MN 55323 Approved[3y:(If Required): <br /> ��" '����� v,o` (952)249-4600 <br /> � �3=' $ <br /> 88H�8 <br /> CITY OF ORONO—WATER METER FORM <br /> (*Notc: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. If�ossible, 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 /> ��Residential(May Require Approval) ❑ Commercial(Approval Required) <br /> � <br /> Q New Meter ❑ Additional Meter—For: ❑ Replacement Meter <br /> Job Site/ Owner Information: <br /> 3 (P <br /> Site Address: _� .l� /v Y {�/�4�� �.rc:, •'�a <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: -�'��'-'��� ����'"`�-^' Contact Person: ��� � <br /> � <br /> Address: �-300�SJ �e���t ��`-'� State License #: <br /> City: ��q �''� Zip: Expiration Date: <br /> Phone: ���"" yo2�- ���� Alternate Phone: <br />