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Nov-15-2004 10:38am From-CITY OF ORONO +9522494616 T-181 P.002/002 F-109 <br /> (Updated 01/12/04) <br /> CITY OF ORONO SALE OF WATER METER <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay,MN 55323 <br /> GENERAL INFORMATION <br /> 1. Water meters must be picked up and paid for at City Hall, <br /> 2. Water meters must be set and sealed by Orono Water Department(952-249-4600)upon <br /> completion of meter installation. <br /> JOB SITE ADDRESS: C/(rC�'1-6%) i ? .ea/ <br /> Occupancy Type: X _Residential _ Commercial <br /> Owner's Name: / 1 --'� 5__ 5 <br /> • <br /> � yN ��' Phone Number:/��� /6��-� /� <br /> Mailing Address: A , 1/ is(/;7i_ City• / � gip; �`��� <br /> Contractor's Name:,��� __ ,/ o ;, � Phone Number: 0)� <br /> 2 i-' <br /> Mailing Address: �� / Cit <br /> y:, O Zip: -- <br /> ME TER INFORMATION <br /> (5/8" meters= $210.00; 3/4"meters=S250.00; �,, 1"meters=$320.00) <br /> Serial Number: 1 e 7 L/ ERT#03- / a U 9 L/( , Cz <br /> c / <br /> Size: ! Brand: 7 Q ���`f <br /> Type: C� 1 <br /> Meter Fee: $ <br /> Signature of Applicant: _ <br /> � PP Date: ///V44_ <br /> Make Copies For: 1-Address File I-Utility P y g sept 1-Cash Register <br /> V:\(forms)\Watermeter Sale Fonn.wpd <br />