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�FaIt Gl�'Y�ST IIANLY <br /> 0,���,0 City of Orono -� ' <br /> P.O.Box 66 Date Recetved ��3'�it#" <br /> � .2750 Kelley Parkway � �T � � <br /> � A. ,_ � Crystal Bay,MN 55323 1�ppro'�ed By:(�f�2equired): <br /> ��o$� (952)249-4600 <br /> CITY OF ORONO-WATER METER FORM <br /> (*Note:Some permits may require approval by the Building Official and/or Public Works Department*) <br /> ��E���Il��° � . TI�1�T <br /> 1. WATER METERS must be picked up and paid for at City Ha1L <br /> 2. If nossible,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 insta►lation. <br /> ' � " � "1�RT��'Pn�''R�2'� <br /> � � °(C�e.c���1'��hat�., l <br /> ❑ Residential(May Require Approval) ❑ Commercial(Approval Required) <br /> ❑ New Meter ❑Additional Meter—For: ❑Replacement Meter <br /> �o�i Site 1 O�er�forma.tion: �'�� � . <br /> , -,---���.... _ <br /> _ S� k'°-.`,I <br /> Sitc Address: � �� � '���'-1 k <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Gontractor Infor�n" ��n:. ` <br /> Contractor: Contact Person: <br /> Address: State License#: <br /> City: Zip: Expiration Date: <br /> Phone: ' Alternate Phone: <br />