Laserfiche WebLink
�'o� �i Ue..v� <br /> � —�e� s a.�d c.{ <br /> . � 1 ►g 1 ts- <br /> � FOR CTI'Y USE ONLY <br /> City of Orono <br /> ._, <br /> � �O P.O.Box 66 Date Received:�?�J�rmit# �--��S <br /> 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Approved By:(IfRequired): n <br /> (952)249-4600 ' �� <br /> ���q RF.�'� CITY OF ORONO —WATER METER FORM ( �� <br /> kESH� (Note:Some permits may require approval by the Building Official and/or Public Works Departmel� <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 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 /> [�New Meter ❑Additional Meter—For: ❑ Replacement Meter <br /> Job Site/Owner Information: <br /> Site Address: Z`�'��l SFj��`I�^-���"�� L�� �xt-��.S��'�',`�.+�t�.� ���-�'� <br /> Owner: ��N Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> .� <br /> Contractor: ���v�"l �-�t�l�� Contact Person: .Fc�k' <br /> Address: 2�� 1���� � State License #: �►"�1 E7�� :Z-7 <br /> City: �i►+�M�l�-wl.�� Zip: ��j`�8 Expiration Date: �4= I ��' <br /> Phone: ���3-��� •�S9f� Alternate Phone: ��� � ��� �d��=' <br />