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FUIt CITY USE OIVI.Y <br /> City of Orono � <br /> �-��� P.O.Box 66 IIate Iteeeived: �- �(� Pertnit# ��'�� - �'G�{��� <br /> 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Apgrrn$d By:(Ifitcquited): <br /> (952)249-4600 <br /> ���.�,�E aR�.�'Z CITY OF ORONO—WATER METER FORM <br /> S H (]�*ate:Some perm�u may require approval by the Building Official and/or Public Works Department) <br /> GENERAL INFORMATION <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 lrnow 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 OF PERI�T'T <br /> Check All T'hat A 1 <br /> �Residential(May Require Approval) ❑ Commercial(Approval Required) <br /> �] New Meter ❑Additional Meter—For: ❑ Replacement Meter <br /> � <br /> Jab Site/Owner Information: <br /> Site Address: �! 02� �I�1 �����c-' �� �Z�� <br /> Owner: �t�"� ��-'"2 S Mailing Address: ��I � �n�� c,v e `j <br /> City: �'-���`���`-� Zip: `�S 3�d <br /> Home Phone: `�5� - �`� � -�3��� Alternate Phone: <br /> Con#ractor Informati4n: <br /> Contractor: I��'``�s�,���c\ ���w��,�J Contact Person: L°� I��✓� �C; ,�� <br /> Address: �`� �"'� `� � State License #: �C �� �� � �� <br /> City: C�'y`5 � " Zip:S 5 3�� Expiration Date: � � I ����� <br /> Phone: �� � ��y�'' `�� 5� Alternate Phone: <br />