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f +;" <br /> � <br /> � � 9y <br /> C Y DSE ON�.Y <br /> City of Orono � )� C� (� <br /> �-�� P.O.Box 66 Datc R�aeiv .�����Peticait#OC.(J��' / /� <br /> � 2750 Kefley Pazkway <br /> Crystal Bay,MN 55323 Approved By:(IfRequired); <br /> (952)249-4600 <br /> �F�-�,�E o��.�'� CITY OF ORONO-WATER METER FORM <br /> SH (]Vote:Some permits may require approval by the Building Official and/or Public Works Department) I <br /> GENERAL INFORI�IATION <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)249-46]6. 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 Infarmation: <br /> Site Address: ��� ��,t� �vr- <br /> Owner: �.��tri�'/d�l� Mailing Address: ��J� ,�/c.�/,}�// <br /> r <br /> City: ��fJ� /� r n� Zip: <br /> Home Phone: �i��,��G/��-7��5'd Alternate Phone: <br /> Contractor Informa#ion: <br /> Contractor: �c�,r��h � �at �J i!?� Contact Person: c � �" <br /> /�� "�iq )�6 r� <br /> Address: ;�`� ve' State License #: y�� C%� <br /> i <br /> City: C� Zip���{ Expiration Date: � � � 7 <br /> Phone: ����'''���`-7�� Alternate Phone: ��'y�vZ�'���� i <br />