Laserfiche WebLink
.` , <br /> - � <br /> FOR CITY USE ONLY <br /> r- p�x��,, City of Orono � l.�J!' <br /> ���� `���� P.O.Box 66 Date Received: Permit�� <br /> I �, }I 2750 Kelley Parkway <br /> `�� ,1)i�` rv- N/;f Crystal Bay,MN 55323 Approved By:(IFRequired): <br /> �a + i ,}.c`� (952)249-4600 <br /> ,��0�,6� <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. VVATER METERS must be picked up and paid for at City Hall. <br /> 2. If possible,fax in this application ahead of time;we wil]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: � �yR'��'e. L�Ot�CI ��, • <br /> Owner: �D R� ��W��.�A Mailing Address: 5,�4►we <br /> City: W'a1/�.�'� Zip: �"�7��I�1 <br /> Home Phone: �`�J�—y�3"0�.� Alternate Phone: <br /> Contractor Information: <br /> Contractor: �t�sl�a�'I�b9� Contact Person: ��1�Ay ��� <br /> Address: �ag5 OC1rCC(�L��'�IAde.. State License #: ��� � � - � � <br /> City: �3ev i(��, Zip:� Expiration Date: j 2 - 3 ) � �ol� <br /> Phone: ,�S�' %1$b `�bb Alternate Phone: (0,5�' 231- 125',_,5 <br />