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� , <br /> _Fq �USE ONLY ' <br /> �O A T City of Orono �f�/ <br /> i V P.O.Box 66 Date Received:� � Permit# <br /> � 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Approved By:(If Re ired): <br /> (952)249-4600 <br /> y� � <br /> �qkFSH�RF.G CITY OF ORONO—WATER METER FORM <br /> (*Note:Some permits may require approval by the Building Official and/or Public Works Departrnent <br /> •� <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 I ) <br /> �-Residential(May Require Approval) ❑ Commercial(Approval Required) <br /> ❑ New Meter ❑Additional Meter—For: ❑Replacement Meter <br /> Job Site/Owner Information: <br /> Site Address: <br /> 36 � 5 /1��r�� �h�� � � <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: ���°MC� �1��i✓��ontact Person: �p r y f►ilGl/L�/✓ <br /> Address: �5�a ��r�� 1-���1'�C � State License#: <br /> City: C ��f �Zip:/�� Expiration Date: <br /> Phone: �l� ��3 q��,(C( AlternatePhone: <br />