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• �-- . <br /> FOR CITY USE ONLY <br /> /' 0�` City of Orono <br /> // ¢ `�` P.O.Box 66 Date Received: Permit�f <br /> ���'4 � il 2750 Kelley Parkway <br /> n- Crystal Bay,MN 55323 Approved By:(If Required): <br /> ��rp:,�.p�% (952)249-4600 <br /> `��os// <br /> CITY OF ORONO—WATER METER FORM <br /> ("Note:Some 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 cali 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 ineter installation. <br /> TYPE OF PERMIT <br /> Check All That A 1 <br /> .�Residential(May Require Approval) �Commereial(Approval Reyuired) <br /> �New Meter ❑Additional Meter—For: �Replacement Meter <br /> Job Site/Owner Information: <br /> Site Address: ���,�j 'Q� L ��r-,� ��- <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: Q�jj���4�,�t�pz�-r�� Contact Person: :�`j���1��,�SC � <br /> Address: �f�,� 7(�1�h�-1 �l;�v State License#: � ����`Q�(Q�� <br /> City: 2;rYwr.�,rvr�,,� Zip:Yl'lY� Expiration Date: �UC_ ��� �C?�`=� <br /> Phone: ��3""��Sl�-�5� Alternate Phone: <br />