Laserfiche WebLink
FOR CITY LtSE 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 /> y� �� <br /> CITY OF ORONO—WATER METER FORM <br /> ��K�SH��� (Note:Some permits may require approval by the Building Official 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 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 ly) � <br /> �Residential(May Require Approval) ❑ Commercial(Approval Required) <br /> �New Meter ❑ Additional Meter—For: ❑ Replacement Meter <br /> Job Site/Owner Information: <br /> Site Address: 3� a S ttiae's�► sHcR rc ��L • <br /> Owner: �L� S ���E_ 5 Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> � ,{ � � <br /> Contractor: �'UOQT� tt�oK� J[.v^+g�NG Contact Person: �q�CC�✓ ��1^�SE•�-� <br /> Address: �?aS f0 �u,M �i�:P ,��v� State License #: �C G �2 ��/ <br /> / <br /> City: .Sr� ��Qq✓c�S Zip:$�So7� Expiration Date: �✓��� � �� � � <br /> Phone: 7�3 �S3 " �3�j Alternate Phone: 1� �a a�q a o? S� <br />