Laserfiche WebLink
� <br /> FO CIT USE ONLY <br /> t�'�� City of Orono q <br /> �O4 �O\ P.O.Box 66 Date Received• � Permi[# �G�!-� �� <br /> �I ,y,.,.,,� ll 2750 Kelley Parkway <br /> �1�j �t,�r.�x;'- �i� Crystal Bay,MN 55323 Approved By:(If Required): <br /> '�'d �r�.�,j.o` (952)249-4600 <br /> `�saxoaf' <br /> CITY OF ORONO—WATER METER FORM <br /> (*Note:Some permits may require approval by the Building Ofticial 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�ossibie, 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: �.-.5�� �v�+(��"t°/t .D�. <br /> Owner: C7� � ��;�����Orvr�;��« Mailing Address: /��L�b �b���J _ <br /> c�ry: p� ou � /1�Ii� zip: ..5`-s-�{�l/ <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: l��-S M� ' � Contact Person: -�Ah �l Sy�v�'�= <br /> Address: 7.S-7o? �����. N State License#: <br /> City: Qt�,k�,� � C Zip:-�S�`t`�`( Expiration Date: <br /> Phone: 763- �3�.S'"7�� Alternate Phone: ��.5� y����'�C-�� <br />