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CITY WE il .Y <br /> ‘VO A TO City of Orono <br /> f V P.O.Box 66 .Date Received: aiir itd - ;--IV �g <br /> 2750 Kelley Parkway / <br /> Crystal Bay,MN 55323 �BY:(WRequit�: IL <br /> (952)249-4600 <br /> ����kF o4�G�`• <br /> CITY OF ORONO—WATER METER FORM <br /> SH (Note:Some <br /> 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 meter installation. <br /> TYPE OF PERMIT <br /> (Check All That Apply) <br /> ❑Residential(May Require Approval) 0 Commercial(Approval Required) <br /> ❑ New Meter 0 Additional Meter—For: ' Replacement Meter <br /> Job Site/Owner Information: <br /> Site Address: ) 11 ( CV t S e-0 'Bu 'Y R <br /> Owner:LI v It t✓ t--c-V1 s i of) Mailing Address: <br /> City: Wali, 2 C±a Zip: 5,S 3 ? l <br /> Home Phone: b L `S S V— 9 v3 Alternate Phone: <br /> Contractor Information: <br /> Contractor: Contact Person: <br /> Address: State License #: <br /> City: Zip: Expiration Date: <br /> Phone: Alternate Phone: <br />