Laserfiche WebLink
� <br /> � k <br /> � <br /> FOR CI US�ONLY <br /> 0 City of Orono 1f /�, <br /> 4$` �O P.O.Box 66 Date Received:/9 � Permit# �l�' ���"' <br /> 2750 Kelley Pazkway <br /> Crystal Bay,MN 55323 Approved By:(If Required): <br /> ���� (952)249�600 � � <br /> CITY OF ORONO—WATER METER FORM � D8�� <br /> (*Note:Some permits may require appmval by the Building Official and/or Public Wo►ics Department•) � <br /> GENERAL INFORMATION <br /> 1. WATER METERS must be picked up and paid for at City Hall. <br /> 2. If nossible,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: 2105 Sugarwood Drive <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Tnformation: <br /> Contractor: B&D Plumbing/Ht. &A.C. Contact Person: �oe Barbeln <br /> Address: 4145 MacKenzie Court N.E. State License#: 5928� <br /> St. Michael, MN 55376 12/31/2010 <br /> City: Zip: Expiration Date: <br /> (763)497-2290 (612)328-0324 <br /> Phone: Alternate Phone: <br />