Laserfiche WebLink
P CITY USE ONLY <br /> . . irL6-/b, W <br /> 1 <br /> �[j�T City of Orono &O/7- >/� <br /> W <br /> Date Ree� ! Per�, #2750 Kelley Parkway1Crystal Bay,MN 55323 Approved By:(IfRequired): <br /> (952)249 4600 <br /> o4 ' 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 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 meter installation. <br /> TYPE OF PERMIT <br /> (Check All That Apply) <br /> ❑ Residential(May Require Approval) S Commercial(Approval Required) <br /> (; rlew Meter ❑Additional Meter—For: 0 Replacement Meter <br /> Job Site I Owner Information: <br /> Site Address: 2 C) ,��-) (- ''l-t_-�--'2__,�' -. c v <br /> Owner: C- /-SS" /-M- ` % v'-'�' 74' -,' Mailing Address: 6 a/c c?S-- <br /> City: /-._‘.71-,9 / /1_. Zip: �i S <br /> / Z- -7 D �6t .5 Alternate Phone: <br /> Home Phone: � .c., --- :�-- <br /> Contractor Information: <br /> Contractor: (. /J S Contact Person: /�• -sem.__. <br /> Address: //90/70/ S 73 State License #: <br /> City: � Zip:� � ^Expiration Date: 67- 0 Z <br /> Phone: e/-7 -b >� Alternate Phone: <br />