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� !` <br /> / � IV ' <br /> � �`� t <br /> � <br /> �� <br /> FOR C1TY US�UNLY <br /> �O A T City of Orono �� /J�. ��-7 �i j// <br /> �y P.O.Box 66 17ate Receivad vy-,L 0 Pe[mit# J l `7 �O <br /> � 2750 Kel{ey Parkway T <br /> Crystal Bay,:�iN 55323 Appmved By (If RequQed) ? <br /> (952)249-4600 <br /> � � �, � r�� �Ci.�� . <br /> ��.�;��,s Na�;E.�� CTTY OF ORONO—WATER METER FOR'VI <br /> (Note:Some permita may require appravel by the Building Official and/a Rcblic Works Department) <br /> GENERAL II�'FORMATTON <br /> 1. WATER METERS must be picked up and paid for at City Hall. <br /> 2. If i [e fax in this application ahead of time;we wif 1 thcn call you and let you know we bave <br /> the watar meter in stock Fax Number:(952)249-4616. Also,you can cell 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 aet ond sealed by Orono 'Water Department (952) 244-4600, <br /> upon completion of ineter installation. <br /> TYPE OF PERMIT <br /> (Check AIl That Apply) � <br /> 0 Residential(May Require Approval) ❑Commercial(Approval Required) <br /> ❑New Meter ❑Additional Meter—For. ,__ ___ ❑Replacement Meter <br /> Job Site/Owner Information: <br /> Site Address: `380� �aS'CO =- '�`V`f� <br /> Owner: ���� ���m�� ?vlailingAddress: � 4�5� 1 7th AVe N <br /> c;�,: Maple Grove zip: <br /> Home Phone: 763-691 -4'099 Alternate Phone: <br /> Contractor Information: <br /> Contractor: N o rt h A n o k a �ntact Person: �aY��r <br /> Aaa�ess: 22590 Rum Riv��t�.���e�W <br /> ty; St. Franci� MN 5�07(� 12/31 /19 <br /> Ci i : xpzra ion Date: <br /> Phone: 763-753-3373 Alternate Phone: <br />