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(Up�lated 01/12/04) <br /> CITY OF ORONO SALE OF ��VATER METER <br /> B�x `v`v (2 i SG iicilcy rarkway) <br /> Crystal Bay, n7N 55323 <br /> GENERAL INFOI2I�7AT�ON <br /> 1. Water meters intist Ue picked up and paid for at City Hall. <br /> 2. «'atei-metei-s must be set and sealed by Orono`�'ater Depai-tment(952-249-4600)upon <br /> completion of ineter iustallation. <br /> � � � a9 <br /> -, <br /> JOB SITE ADDRESS: �� ` �'.., �j I r.� L�12- � �-` � N�` '-� �--- <br /> Occupancy Type: Resideutial � Commercial <br /> � n1('�i'�-.. -� �J�) L `� I �l ��' <br /> Owner's Name: ���(�J (��� Phace I`Isr.:bci . 7 � u <br /> , , n _ <br /> Mailing Addi•ess: 3 C�a 7 �(-�12-�C.�.��� �/� City:��41-r� Z 5 j ,�� ( <br /> �� <br /> � <br /> Contractoa•'s Name: �� �� C�'�.�' %f�-- pliob� �Tumbe�:-: l S Z �/7( i'7.; -� <br /> t .�V� <br /> Mailing Address: ��� � ��-I�� c n�L � L \ '� <br /> �-� l� City:� �,1�- Zip: 5 J 3`� ( <br /> Il�IETER 1NFORMATION <br /> (5/8" meters = $210.00; 3/4" meters = $250.00; i'� 1" meters = $320.00) <br /> �..�_ <br /> n _ ..,..___.....,._...._..._. -ry�.,r•-- <br /> Serial Number: oS�y j � 2 y J ERT # 03- .- � :------ <br /> ' �- ( c� =" � <br /> Size: � � � Brand: � ._c��,f'� :�;���„� /�».�Type: � <br /> y--� /� <br /> lt�eter•Fee: // �'� � o <br /> � `����L/ U , . <br /> Signature of Applicant: Date: � 2 — ��{---c7� <br /> Make Copies For: 1-Address File 1-Utility Billing Dept 1-Cash Register <br /> V:\(Forms)\Watermeter Sale Fonn.wpd <br />