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FQ ,G(r 1. ..NLY <br /> \\ City of Orono <br /> `y P.O.Box 66 Datel<ttcetrted Y ,irittt#f <br /> n <br /> . "'•t. O 2750 Kelley Parkway, c w'' - 4� ��c 4 a <br /> , <br /> ' Crystal Ba}_MN 55323 ,?tP1 bi y�(- .lf <br /> � � rf (452)244 4600 u r t <br /> CITY OF ORONO—WATER METER FORM <br /> f'� j��{* (*Note:Some/� permits ymay require approval by the Building Official and/or Public Works Department k) <br /> 'l'1Ei''l La !�,i7 9- X `�w. I t C.a�, f... t ,. s 'w.l a.x .,_ . ...a �xk {ak v <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 /> Q Residential(May Require Approval) ❑Commercial(Approval Required) <br /> New Meter -0 Additional Meter—For: II ReplacemenfMeter— <br /> as t C 11144:' t FfAi'' 1 <br /> ..3:.T... - '',.,,,,, :7 r.:,-5"- V.t '1m <br /> Site Address: ni6 n16Cro\c bvv v ci \kaki <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor: 1.� W Contact Person: 5 Uk4/v) <br /> Address: bb6 L i State License #: I 1 <br /> City: Zip:5'441 Expiration Date: 12. 31., 10 I q <br /> Phone: 11pb'i4i ."2-7-0 Alternate Phone: -1105.253•+-7?Y <br />