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FOR CITY USE ONCE <br /> �T City of Orono <br /> P.O.Box 66 Date Received: Peewit# <br /> slic.... <br /> �i 10 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Approved By:(If Required): <br /> (952)249-4600 <br /> �`.< ,G CITY OF ORONO—WATER METER FORM <br /> -1'FESH04 (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) ❑Commercial(Approval Required) <br /> ❑ New Meter 0 Additional Meter—For: ❑Replacement Meter <br /> Job Site/Owner Ilortmation: <br /> Site Address: <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: Contact Person: <br /> Address: State License #: <br /> City: Zip: Expiration Date: <br /> Phone: Alternate Phone: <br />