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_ . i <br /> � <br /> q <br /> .,-��.-�� I <br /> I <br /> �1�V ��� ��'i�fa� <br /> G.C�. PC', �b <br /> irc{�'349�4f'!lJr'�} J��J _ ' SALE OF WATER METER <br /> 1�i/�c!i}c G9:`�:�5 <br /> 'j <br /> i <br /> ����tamer: �S?4 51{G�--LIrlc D? � <br /> SAtE Oi WT'r': `IE�tn � <br /> i @ 35.3,5 ;55.?; j <br /> �IATcR �iE7cR HO��N Q'll_� 5;6° � <br /> �i!$TQTNL �5.�.i <br /> j�;t o.no ked up and paid for at City Hall. <br /> T7�AL '��i�E G�-'_'' et and sealed b Orono Water De artment 249-4600 u on <br /> C'�ec�: R_c��ivcd 3.,..:3 , Y P � ) P <br /> 'allation. <br /> C�;i;t�r�� t`�U'-' ' <br /> _���1�� , r �_� ��r,j, <br /> l. G���� , {h'hi�r,t b <br /> JOB.SITE ADDRESS: 35� `� � Y�oV'�,���n� �Y �� <br /> Occupancy Type: � Residential i� � Commercial <br /> ""r°""'�Oti�vn's Na � e: Phone <br /> �._._.s.— � <br /> Nlailing Address: • City: Zip• � �- <br /> ," � <br /> Contractor's Name: � • ��o � �w, �1�t�t Phone Number: 7�� s S -�jS�S S �' <br /> Mailing Address: �gUU �C�w�fl�� \J C �'� �1U City: ���: �s�� 1 ' <br /> 32 q � �,;.� ��Z ��c:� � <br /> , 1 � <br /> _ a �3 0�� � � <br /> METER INFQRMATIO /'� 3�� � �� � <br /> � fi--It��n ��I� � �' � <br /> � � <br /> (5/8" m�t�ers=$130:00; ,3/4" meters=$180.00; 1" eters=$240.00) / � � <br /> - - I �� 993����GY11� `� �, <br /> Serial Number: _ /� �4- Rernnte Number: � � --� <br /> , � <br /> � <br /> Size:. ���_ Brand: N A <br /> TY�e� �( / �I � � <br /> � <br /> __ T�� .C'_�(/��--�--��-' �Q"/�-��-- � � <br /> � � <br /> �G.� N _ <br /> � � <br /> Meter F'ee: ,_ .... .. .. $. � -�j • �� �`�`� � <br /> .. . . .. . '� � <br /> _ _ _ _ ,-�� � �L _ <br /> � � ��� � � - <br /> / � <br /> Signature of Applicant: �1��� '� � Date: ( � �� Z G <br /> cc:addresss file,Utility billing Dept,cash register <br /> X:�PPS\WP WIN60\WPDOCS�F'ORMS\WATER,�SETER <br />