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Dee-2�06. 11:24am From-CITY OF ORONO +9522494616 T-131 P.001/001 F-691 <br /> �' <br /> (Updated OS/15/06) <br /> CT'�Y O�' QRONO SAL� OF WA'X'ER ME'xER <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay,MN SS323 <br /> ` �� <br /> GEN�RAL TNFORMATION �V/ <br /> ,/ <br /> 1, Water rnetez's must be picked up and paid for at City Hall, <br /> 2. Water metcrs must be sct and sea�ed by Orono'V�'ater Department(952-249-4600)upon <br /> completion o£meter installntion. <br /> JOB SITE ADDR�SS: 'Q- '� � <br /> � Residential � CommerCial <br /> Occupancy Type; ,�� ----� <br /> �wner'sName:.��i/�--�� �`'��n-��-�--- <br /> Pho�/Number: <br /> Mailin Address: o�- i.c� � "'�7'' � �'`�`�" �' S� <br /> g �� � <br /> ,���-,� i <br /> Cantractor's Narne:� ,(���=���bone Number:_ �ISa- �7��' %2-� <br /> MRiting Address: 7.�S < a.�....���1.��1 Of }� C1CY= �p'S�`3�' <br /> 1� <br /> / <br /> I�(�TER�1�F+�R�M�TI�1�1 <br /> (5/S" meters =$210.00; 3/4" meters = $Z50.00� 1"meters =$320.00) <br /> Serial Nurnber: �� ��� High - <br /> ' i� <br /> Size:�l� �� �� Brand: V��� `�(, ype: <br /> Merer 1�'ee; $ <br /> t <br /> ;� <br /> 1 j`� <br /> Sigrzature of Applicant: �/ � ���'' Date: ' �G(�.(o <br /> Make Cop�es For: 1-AddTess File l-Ucility Billing Depc l,Cash Regis�er <br /> v;�(Porrns)�W aLermeter Sole Form•w�d <br />