Laserfiche WebLink
Fro��:Gen�Ryan 952 767 1900 11 /19/2012 12:21 #773 P.0021003 <br /> : F�R'C1TY USE'nNLY ' <br /> O���O City of Orono ' <br /> P.O.Box 66 Date Reaeived- Permit# <br /> i �,�,,. 2750 Kelley Parkway <br /> � � t Crystal Bay,MN 55323 A�.soved By_(If Requixed):, <br /> ?L� '�6` (952)249-4600 <br /> � <br /> CITY OF ORONO—WATER METER FORM <br /> (*Note:Some permirs may require approval by ihe Building Official and/or Pubiic Works Depamnent*) <br /> : ; <br /> GENERAL IN�QR�v1A'�ION . .. . :; ; ; , : <br /> 1. WATER METERS must be picked up and paid for ai City Hall. <br /> 2. If�ossible,fa�c in this application ahead of timc; wc wifl thcn caU 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;C�F�ERMIT �� - '� � . � ���� �.: :: ; <br /> Check All That A 1 _ "' ` <br /> �Zesidential (May Require Approval) ❑Commercial(Approval Required) <br /> �New Meter ❑Additional Metcr—For: �Rcplacement Meter <br /> 7ob.Site I Owner Informatiori ' <br /> Site Address: . 2-� �� �� ��'�'��'�- ��v� �,��� <br /> .i-ti-y ' �22� �� �\v c� <br /> Owner:�✓� ,1�'- �a�`�� Mailing Address: <br /> City: �� 1 �,� Zip: ��d�' <br /> Home Phone: Alternate Phone: ��1�2 '���' <br /> -Contractor Information. . "' ` <br /> Contractor: �1 Contact Person� ��� �'� �S� '�� <br /> Address: 2� C�`�"y ,� � State License#: ��� �/�i ` �� <br /> City: �U r��� �t� Zip:s�33 �] Expiration Date: <br /> Phone: C°�c✓Z1��0�" I�CJ� Alternate Phone� <br />