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Mar 07 07 07: 40a Tim Iverson 32�-274-8820 p. l <br /> ",��Q31���'( <br /> ,. 1�` <br /> FOR Cl'fY USE OiVLY <br /> 4�� City af Orono <br /> P.O.Bos 66 Duie Recrived� Pemiit# <br /> 0�.� � 27501CeIleyParkway <br /> y�1�' C st�!8ay,MN 553Z3 Approved By:(If Requircd): <br /> u�;r- �'' �3' <br /> �^r��'��o� (952)249�G00 <br /> a�rx <br /> CI1 Y �F OKONO —WATER MET�R FORM <br /> (*Note:Some pem�its mey require appro��af by thc Duilding Ol�ficial aad/or Public Worlcs Departmeat*) <br /> GENEI2AL�NFORMATION <br /> i. Vi'ATER METERS ntust be pickcd up and paid for at City HaIL <br /> 2. lf vossible,fax in this application ahead of time; we will then call you and let yo►►know we have <br /> � The water meter in stock, Fax Number: (952}244-4616. Also,you can eall ahead of tinie to ntake <br /> sare we received the fax,or to�varn us that tlie fax is couung. <br /> 3. WATER 1tiIET�ItS must be sef and sealed by Orono Water Departmeret (9�2) 249-�4Gfl0, <br /> upon completion of ineter instailAtion. <br /> ; TYPE OF PERMIT <br /> (Check Ail T�at A ly <br /> ❑Residential(May Require Approval) ❑ Corrunercial(Approval Requized} <br /> �]Veti� Meter ❑kddYtioriai Meter—For: _ ❑ t�eplacement Metec <br /> ( Job Si e /Owner Infonnation� <br /> � <br /> I Site Address: �Z- Rf � <br /> � �r,vner: Mailing Address: <br /> � City: Zip� <br /> �' I-�ame Phoi�e: Alteniate Phor�e: <br /> ', Contractor Information: � <br /> I Cont�actor: ��A � Contact Person: / ' � <br /> I � <br /> Addre�s: Z�v'S �C�'iav� _e�� State License#: Z2-I '� <br /> � City. , ��✓�.- Zi�1:�C��/ Expiration Date: <br /> I <br /> PlZone: �/ '"3�3'�Z � Alten�ate Phonc: <br />