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02/1112005 16:52 9528947972 LAKE SIDE PLUMBING PAGE 01 <br /> ��� �� <br /> �� �� � <br /> �;, � C��� . <br /> ,� � � 1 (Updated O1/12/04) <br /> �����. <br /> l,� . <br /> C�TY OF ORONO SA.LE OF WATER 11'I�TER <br /> Bo�66 (2750 Keiley Parkway) <br /> Crystal�ay,MN 553Z3 <br /> E !RAL INFO �� �T10� � <br /> l. Water meters must be picked up and psid For at City Hall. <br /> 2. Water meters must be set an�d seated by Orono Water Department(952�249-4600)upon � <br /> completion of ineter installatio�. � <br /> JOE SITE ,ADDXtESS: 3�'�� C�r <br /> Occupancy T�pe� <br /> �Residential Co�mercial � <br /> Qwn�er's Name: � r ��t.� L���r'S Phone Number: <br /> IW,[ailin�g Address: 3 �3� <br /> � � � City:�l'1,n n.�� :5�� 71p: ,�S 3�D/ <br /> ��./h hi� Phone Nnnnbcr;���7lal�� <br /> Contractor'sNanne; L� lce. S�:C��.� <br /> v e C�ty:�1�� �m:/��-- <br /> Mai�ing Address: f� � � ,�,� 3�� . <br /> IV�ET R INFO M TIO.�Lt��. <br /> . — .......�: <br /> c' -. ( �� . ... _.....__210.Q.0'; 3J4" meters= �250.Oa; ]." meters=$320.00) <br /> 5/8 met�rs— $ <br /> S / <br /> erial Number: `i �� ERT#03- _,�s,�� �0��� <br /> � Brand� �G�� ` 'r TYPe� _ ���O��e.%l �.� — <br /> � Size: ,�� --�1 . <br /> � <br /> � � � ( <br /> i $ l(� <br /> j �le�er Fee: � <br /> Signature of A.pplicant; <br /> �Gwl.1.� �is�u� Date: ,_ =�1��11 �S — <br /> � Make Copies For: 1-Address File]-Utility BillingDept 1-Cash Registcr <br /> � V:\(Forms}\Watcrrnetor Saie Fotm•wPd "` <br /> 1 . . , � . ..� .s: <br /> �• � a� �" ,; r, <br /> ��� � '� r Ri.,. ;� y^; <br /> ,. � ` ' � a }� '� }' <br /> .._s.��---- � .�a b � <br /> 2 �,,,�3 - ... . - <br /> � _ ...,,r..-t-.�.-�:'i.�.Yr{� <br />