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r : . •� <br /> FOIt C1TY USE t31�1LY <br /> �O�O City of Orono ' <br /> P.O.Box 66 T�ate RecCived: Pertnh# <br /> 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Approved F3y:(IfR�quired): <br /> (952)249-4600 <br /> � � <br /> �� � <br /> �AkESki���G CITY OF ORONO—WATER METER FORM <br /> (Note:Some permiks may require approval by the Building Official and/or Public Works Department) <br /> GENERAL INFORMATIaN ° <br /> 1. WATER METERS must be picked up and paid for at City Hall. <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 installation. <br /> TYPE O�'PERIVIIT <br /> Ch�cic�Il�That A 1 <br /> ❑Residential(May Require Approval) ❑Commercial(Approval Required) <br /> ❑ New Meter ❑Additional Meter—For: ❑ Replacement Meter <br /> Job Site i C)v�ner Information: `` <br /> Site Address: � � �`� 3 (�i v�1 R�G 2 `�'� n �"lJ'e-- ' <br /> Owner: � � (-�� <- Mailing Address: 3 � �' 3 �v t r��ST 0 n �k tr� <br /> City: �, �'��a4'f'� Zip: s J`�' �`T I <br /> Home Phone: � � � ' C� 3 � � Alternate Phone: <br /> Contra.ctc�r Information: ' <br /> Contractor: Contact Person: <br /> Address: State License#: <br /> City: Zip: Expiration Date: <br /> Phone: Alternate Phone: <br />