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.� , . <br /> FOI� ITY IISE ONLI' <br /> ,�O A T City of Orono �/, � �' `� <br /> 1 y P.O.Box 66 Date Rec i���� Permit � �r� <br /> � 2750 Kelley Pazkway <br /> Crystal Bay,MN 55323 ApprovEdBy:(IfRtquired): <br /> (952)249-4600 <br /> y���skE o���'Z CITY OF ORONO—WATER METER FORM <br /> SH (Note:Some permits 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 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 PERMIT <br /> Check All That A 1 <br /> �.Residential(May Require Approval) ❑Commercial(Approval Required) <br /> t� <br /> � �New Meter ❑Additional Meter—For: <br /> ❑Replacement Meter <br /> Job Site/Ou�ner Information: <br /> Site Address: �' !�%�' � '�� ; . < <, `� i;J cl <br /> -� n ; <br /> Owner: nan�r>>��:�u�� ��p;�,` �� � MailingAddress: /�.��� �hamh-�����h �� <br /> c�ri� � �^ ��, �,:� ��1„� z�p: SS3�/� <br /> Home Phone: Alternate Phone: �5�`�o �/ ` �� 5 3 <br /> Contractor Informatian: <br /> � , ; � � r-; ��r_�.2, n <br /> Contractor: ; ,�,:,�� l:_ %u,r� /=�,r� i ���_r��i rr � , �,� � �� (r��_-� J G�� <br /> Contact Person: <br /> Address: State License #: <br /> City: Zip: Expiration Date: <br /> Phone: �5 a� A�ternate Phone: <br /> S Q�' <br />