Laserfiche WebLink
$ 0%9 <br /> FOR CITY USE ONLY <br /> O City of Orono <br /> P.O.Box 66 <br /> �� 2750.Kelley Parkway <br /> oto... <br /> Crystal Bay,MN 55323 Approved By:(If Required): <br /> (952)249-4600 Date Received: Permit# <br /> 1. <br /> `� CITY OF ORONO-WATER METER FORM <br /> `�xES H0°' <br /> (*Note:Some permits may require approval by the Building Official and/or Public Works Department <br /> •) <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 /> I'Residential(May Require Approval) ❑ Commercial(Approval Required) <br /> ❑ New Meter ❑Additional Meter—For: ❑ Replacement Meter <br /> Job Site/ Owner Information: <br /> Site Address: Z e:::3 c) 2 . 1-...fi=g ` e-- <br /> Owner: Mailing Address: <br /> City: (-2k-a.r.. Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: ------ --kr,�ts Lk--)e-c. .:..)0____ Contact Person:-t,..,,..5 U) �e- <br /> Address: (4:t`\ 3 r4Y Roe, S, ..e.)• State License#: P r\.c" tot Sf <br /> City: ` v. -,v ..9,-,• Zip:SS3 Expiration Date: <br /> Phone: (4,--1L- %D t- S z c,O Alternate Phone: <br />