Laserfiche WebLink
� . � <br /> . <br /> FOI�CIT USE ONLY <br /> ,���� City of'Orono /��� � '��'_ <br /> � �� P.O.Box 66 Date Received:! �� Permit# � � <br /> �;;,,� 2750 Kelley Parkway <br /> � �y�'.�r�.:_ � Crystal Bay,MN 55323 Approved By:(It'Requ�red): <br /> d ���,��o` (952)249-4600 <br /> ���08 <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 INFORMATION <br /> 1. WATER METERS must be picked up and paid for at City Hall. <br /> 2. If possible, fax in this applicafion 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 co,ming. <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 Apply) � <br /> �Residential(May Require Approval) ❑ Commercial(Approval Required) <br /> ❑ New Meter ❑Additional Meter—For: ❑ Replacement Meter <br /> Job Site/ Owner Infornlation: <br /> Site Address: �u��'�� �`,� � ��ti�� �)� ���X. <br /> � _ . <br /> Owner: L � , l ���_:�r�; Sv,.-� ' '�� ��/ � <br /> l, 7 Mailing Address: �- t'� � (�� �� / f/ � � <br /> City: �_��''->--�a' Zip: S S��( <br /> Home Phone: `�SZ- �"/7��/-r1��� Alternate Phone: �1 �- -Z �� /�S�-' � ��c,( �J <br /> Contractor Information: <br /> Contractor: Contact Person: <br /> Address: State License #: <br /> City: Zip: Expiration Date: <br /> Phone: Altemate Phone: <br />