Laserfiche WebLink
� . <br /> FOR CITY USE ONLY <br /> -'���"`�� Citv of Orono /2 <br /> ���O�~\� P.O.Box 66 Date Received: ����CPermit# <br /> �,��, �`�: 2750 Kelley Parkway <br /> �� i'� ��"� �tI Crystal Bay,MN 5�323 Approved By:(If Required): <br /> �� �'����;,,i.�c`�� (952)249-4600 <br /> �Mc�o$�l <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 1NFORMATION <br /> 1. WATER METERS must be picked up and paid for at City Hall. <br /> 2. lf 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 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 f�r �-I� (,J�;c��Q �-,(. <br /> � t'� ��YYlQ�(,,>Pa-��{� Mailing Address: l S M �Y ��� `'��"=� <br /> Owner: �� ; J <br /> c�ry: a�'v r�o z�p: S 5 3 ct l <br /> Home Phone: ���^,��(� "U�/�� Alternate Phone: <br /> j' ( / <br /> Contractor Information: <br /> Contractor: Contact Person: <br /> Address: State License #: <br /> City: Zip: Expiration Date: <br /> Phone: Alternate Phone: <br />