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� <br />. � . <br /> FOR CITY USE ONLY <br /> ,��� City of Orono <br /> P.O.Box 66 Date Received: Permit# <br /> � A� � 2750 Kelley Parkway <br /> ��? => Crystal Bay,MN 55323 Approved By:(if Required): <br /> �4�a� (952)249-4600 <br /> �A$ . <br /> CITY OF ORONO—WATER METER FORM <br /> � (*Note:Some permits may require approval by the Building Official and/or Public Works Department*) <br /> GEIVERAL-INFORMATION , <br /> 1. WATER METERS must be picked up and paid for at City Hall. <br /> 2. f ossible, fax in this application ahead of time;we will then call you and let you know w have <br /> the water meter in stock. Fax Number: (952)249-4616. Also,you can call ahead of time o 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) 2 9-4600, <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 ter <br /> Job Site/Owner Information: <br /> Site Add�ress: � � � -- 0��-�%�LtJ <br /> Owner:�. (� L�� Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> � , � a <br /> Contractor: � Contact Person: ' <br /> Address: I�, �o�/�" g�, M-z/Q.�,��/V State License#: .3 ��` ! �1 <br /> City: Zip:�� Expiration Date: <br /> Phone: I ��.� ����f�,3�� Alternate Phone: �76 �3� � D�l <br />