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_ - <br /> CITY OF ORONO SALE OF WATER METER <br /> Bog 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 (249-4600) upon <br /> completion of ineter installation. <br /> JOB SITE ADDRESS: ��- c1 l� CC�,v c����� ���- <br /> Occupancy Type: �— Residential Commercial <br /> �s�- <br /> O�vner's Name: ��-v�-w�.� �, g,_,_„� � Phone Number: �{ol- �f1.2� <br /> Mailing Address: �'�`^^-- �� City: 7ip: <br /> Contractor's Name: �briG Yl�c�r� S'��i�� Phone Number: <br /> Mailing Address: �0 U L �-- �v����l 1 Q�rl� City: , Zip:S.S-3 ' <br /> METER INFORMATION <br /> (5/8" meters= $130.00; 3/4" meters =$180.00; 1" meters=$240.00) <br /> Serial Number: c`�C�U U� �� ) Remote Number: � �� ��� � <br /> � <br /> ' c - (�-� �j-i <br /> Size: � Brand: �����°�'�G Type: \2�Gc� C— <br /> 3��,��� <br /> Meter Fee: $ <br /> a �c�. G�v <br /> � <br /> Signature of Applicant: � /���G�� ;c.-v �,-�� Date: �-^� z �0 <br /> cc: addresss file,Utility billing Dept,cash register <br /> X:�APPSIW P WIN60\WPDOCS�F'ORMS\WATERMETER <br />