Laserfiche WebLink
R ITY SE ONLY <br /> ,�O A T City of Orono ��J �/ <br /> �y P.O.Box 66 DateReceivedJ �..5 rmit#!��yc v��- b�/ � (J <br /> � 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Agproved By:(It'Rcquired): <br /> (952)249-4600 <br /> �F�-sxF o���'� CITY OF ORONO—WATER METER FORM <br /> S H (Note:Some permits may require approval by the Building Official and/or Public Works Department) <br /> GENERAL 1NFORMATION <br /> 1. WATER METERS must be picked up and paid for at City Hall. <br /> 2. If ossible, 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 ineter installation. <br /> TYPE OF PERMIT <br /> Check All That A 1 <br /> � Residential(May Require Approval) ❑ Commercial(Approval Required) <br /> ew Meter ❑Addrtional Meter—For: <br /> ❑ Replacement Meter <br /> b Site/Owner Informatian: <br /> Site Address: ��� C����� <br /> Owner: ��� ����2-- Mailing Address: <br /> City: ���� Zip: <br /> Home Phone: Alternate Phone: <br /> Contractflr Information: <br /> Contractor: ���u� �� ��Contact Person: �vt 5 <br /> Address: �-{.�c9�( (NICi�.�a�.� C�. State License #: ����( �� <br /> City: ����"� ZipS�3��Expiration Date: <br /> Phone: �� Alternate Phone: ���P 3 �y�7�� ��(�o <br />