Laserfiche WebLink
► , ►. <br /> �-�v, 3 <br /> FO C Y USE ONLY <br /> � ��'`� City of Orono I� �j <br /> ��� ¢ `�' �` P.O.Box 66 Date Keceived: / Permit#�b �� � `-' <br /> a`„,�„� �� 2750 Kelley Parkway <br /> �,` �j y'��'. ��I Crystal Bay,MN 55323 Approved By: [f Required): <br /> ����'��j���+.o/ (952)249-4600 <br /> \��xJ� <br /> CITY OF ORONO-WATER METER FORM <br /> (*Note:Some permits may require approval by the Building Ofticial and/or Public Works Dcpartment*) <br /> GENERAL INFORMATION <br /> 1. WATER METERS must be picked up and paid for at City Hall. <br /> 2. If�ossible,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. Alsq 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 /> / <br /> Job Site/Owner Information: <br /> ---, �/ <br /> Site Address: j(7`1 /';� ,p ���/�f�P/j ��O�J� <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> LCC / <br /> Contractor: '�--� Gl/� %�' Contact Person: .��� ,5�,�,lCS��, <br /> Address: �57�? ��-t�j� �. State License #: <br /> City: ��a��l��i� ���l Zip.�`r��� Expiration Date: <br /> Phone: �763-�3�-573�� Alternate Phone: <br />