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M � � <br /> FUR CT!'I'iTS�iUM.X <br /> City of Orono ' ° <br /> �ONO P.O.Box 66 I3ate Rec.�iveci: Perptit# <br /> 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 t4pptoved$y;(If Rcquired). <br /> (952)249-4600 <br /> y �� <br /> ��kESki���G CITY OF ORONO-WATER METER FORM <br /> (Note:Some permits may require approval by the Building Official and/or Public Works Department) <br /> GE�RAL INFiJRMATi()N <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 OF PERiVII�' <br /> Ch�ck All Tlaat A 1 : <br /> ❑Residential(May Require Approval) ❑Commercial(Approval Required) <br /> �New Meter ❑Additional Meter—For: ❑Replacement Meter <br /> dpb Stte/fJwner Infarmativn: <br /> Site Address: �_ `�7�7T Ul K-1� --�� <br /> Owner: ��_l/J .�I�1 Mailing Address: �l� �.l�D���� <br /> City: d�r0 ZiP: �7���� <br /> Home Phone: �7i�7T���(Z Alternate Phone: �(O� Z3� ��Z7 <br /> Contractc�r rnfc�rmatic�n: <br /> Contractor: �-�'(.4�ontact Person: ��"t N <br /> Address: ��p� /l.�P(1��'ll�+'l c�v State License#: `��o S�1 � D <br /> City: ���� Zip: A�-/'� Expiration Date: ���� ��� <br /> Phone: � �. �,���Z� Alternate Phone: ��� � Z � s� <br />