Laserfiche WebLink
Sik <br /> 44111 AiN <br /> FOR CITY US <br /> ,¢d�0 City of Orono <br /> P.O.Box 66 Date Received: Permit# <br /> ti 2750 Kelley Parkway <br /> ,'' I Crystal Bay,MN 55323 Approved By:(If Required): <br /> 44,144, <br /> o (952)249-4600 <br /> �"�rzes 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. 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 meter installation. <br /> TYPE OF PERMIT <br /> (Check All That Apply) <br /> ❑ Residential (May Require Approval) 'Commercial(Approval Required) <br /> New Meter Additional Meter—For: 13 Replacement Meter <br /> Job Site/Owner Information: <br /> Site Address: 75 o//2 C lfc/W'`' /3/1-7 /2d <br /> Owner: 2yu, 1 (1� Ctt/� ✓1I(S Mailing Address: .� .. !64 Sr <br /> City: lrn Zip: 51 -I&) <br /> Home Phone: / a gga— (ICUU Alternate Phone: <br /> Contractor Information: <br /> Contractor: \O.SC,v\ irythit) Contact Person: 1444c \lis <br /> Address: [Pr her State License #: y-15 <br /> !/r <br /> City: 1 Zip:S11-(3 Expiration Date: P77 //Z <br /> Phone: 25"L' C'.)tio Alternate Phone: Z 9Q 135c6 <br />