Laserfiche WebLink
ti a <br /> CIT USE ONLY <br /> p�` City of Orono <br /> O4 `�'O P.O.Box 66 Date Receiv : � Permit#��� O� <br /> " 2750 Kelley Parkway <br /> � ? ,-..� Crystal Bay,MN 55323 Approved By:(If Required): <br /> ��o$y (952)249-4600 <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 INFORMATTON <br /> 1. WATER METERS must be picked up and paid for at City Hall. <br /> 2. If possible,fax in this applicarion 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 wam 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�F PERMIT ', <br /> (Check A11 Tl�at A 1 <br /> ❑Residential(May Require Approval) ❑ Commercial(Approval Required) <br /> �Tew Meter ❑Additional Meter—For: ❑Replacement Meter <br /> � <br /> 'Job Site/Owner Information: <br /> Site Address: � �"D CJ <<�� � � <br /> Owne • ���� Mailing Address: <br /> CitY� Zip� � SJ� � <br /> Home Phone: ��7.Tl�o� Alternate Phone: <br /> Contractor Information: <br /> Contractor: Contact Person: <br /> Address: State License#: <br /> City: Zip: Expiration Date: <br /> Phone: Alternate Phone: <br />