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FOI�. USE ONLY <br /> ��p�'�, City of Orono .��/D � <br /> • ��� a P.O.Box 66 Date Recei� Petmit# la—o <br /> �t 2750 Kelley Parkway � <br /> � �� ' Crystal Bay,MN 55323 Approve�By:(If Required): ' <br /> '����_'� ��� (952)249-4600 ,'� <br /> �� �/ � <br /> CITY OF ORONO—WATER ME ER FORM ���''•�S� ,` <br /> (•Note:Some permits may require approval by the Building Official d/or Public Wodcs Department*) <br /> GENERAL INFORMATION <br /> 4 <br /> 1. WATER METERS must be picked up and paid for at Cit�r Hall. <br /> 2. If possible,f�in this application ahead of time;we will then call you and let you kn e have <br /> the water meter in stock. Fax Number:(952)249-4616. Also,you can call a ea 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 /> �New Meter �Additional Meter—For: �Replacement Meter S� <br /> . `7� <br /> Job Site/Owner Information: � <br /> Site Address: 915 Partenwood Road , <br /> / � <br /> Owner: Mailing Address: � <br /> � <br /> City: Zip: �� <br /> Home Phone: Alternate Phone: �' <br /> � <br /> Contractor Information: <br /> B&D Plumbing/Ht.and A.C. Joe Barbeln <br /> Contractor: Contact Person: <br /> 4145 MacKenzie Court N.E. 59287 <br /> Address: State License#: <br /> City: St. Michael Zlp: 55376 Expiration Date: 12/31/2010 <br /> Phone: ��63)497-2290 Alternate Phone: �612)328-0324 <br />