Laserfiche WebLink
n <br /> J � <br /> FOR CITY USE ONLY <br /> O¢p�O City of Orono /� G � � <br /> P.O.Box 66 Date Received: _�;��"�-f- Permit# (�DU%' D <br /> . 2750 Kelley Parkway <br /> � �'�'• Crystal Bay,MN 55323 Approved By:(If Required): <br /> 'a �'� ; o� (952)249-4600 <br /> �ttaHo6� <br /> CITY OF ORONO—WATER METER FORM <br /> (*Note:Some permits may require approval by the Building Official and/or Public Works Deparhnent') <br /> GENERAL INFORMATION <br /> 1. WATER METERS must be picked up and paid for at City Hall. <br /> 2. If possible,faac in this application ahead of time;we will then call you and let you know we have <br /> the water meter in stock. Faac Number:(952)249-4616. Also,you can cail ahead of time to make <br /> sure we received the fa�c,or to warn us that the fau 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 <br /> Job Site/Owner Information: <br /> Site Address: �-( �� S�a�.V � I�. <br /> Owner:�Oi,V'�vt ��,r�,a,�a . Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: �U /' c,c,,wdt ` C. Contact Person: `�*� <br /> Address: <s2?s,�' �t�xSf.t I�a�l. ,�t��'� State License#: Sg q�2� —" �� <br /> City: � 'Gµ0 uJ �7 Zip: SS 6 b� Expiration Date: �Z 3l l� <br /> Phone: �5��-�z2 - 1 i 3� Alternate Phone: <br />