Laserfiche WebLink
FOR CITY USE ONLY <br /> �O�O City of Orono <br /> P.O.Box 66 Date Received: Permit# <br /> 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Approved By(If Required): <br /> (952)249-4600 <br /> yF � <br /> � <br /> `�kESH���G CITY OF ORONO —WATER METER FORM <br /> (Note:Some permits may require approval by the Building Ofticial and/or Public Works DepaRment) <br /> GENERAL INFORMATION <br /> l. 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 ineter installation. <br /> TYPE OF PERMIT <br /> (Check All That Ap 1 ) <br /> OResidential(May Require Approval) ❑ Commercial(Approval Required) <br /> �New Meter ❑ Additional Meter—For: ❑ Replacement Meter <br /> Job Site /Owner Information: <br /> Site Address: _5. �,' ` ��� �—� �G ��U• <br /> V v'-_ <br /> Owner: �.��^tc� JC�,T,�r c.�� Mailing Address: �3�` � ��� �� <br /> City: �,�'J vt,c�� Zip: �"��� � <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: {�•�, �����c�vt,c w-` Contact Person: ���� �-� lC V <br /> Address: S�l� .5��(a .-�;v� ��� State License#: ��- E�`-I`{ c�L Z <br /> City: � �v�� Zip:�'�.�6`/ Expiration Date: /�,2 -3I� /� <br /> Phone: �.�.��I(�'-/I L.S� Alternate Phone: <br />