HomeMy WebLinkAboutsale/water meter (Updated OS/1 S/06)
CITY OF ORONO SALE OF WATER METER
Bos 66(2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. Water meters must be picked up and paid for at City Hall.
2. Water meters must be set and sealed by Orono Water Department(952-249-4600)upon
completion of ineter instatlation.
JOB SITE ADDRESS: 5�c`ti-'`' ��'/ C��������-S( �'�'')
Occupancy Type: Residential _�Commercial _
Owner's Name: Pt�one Number:
Mailing Address: City: 7�p:
Contractor's Name: ���-� (�.�;�L�� ��.,._ Phone Number: �-; 1? � l�i��i�
i3-�ailing �d�lress: L1� �� ( ,S�!� J_•�.� !v� City: "ti'�''�-' �: �J�G
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METER Il�'FORMATION
(5/8" meters = $210.00; 3/4" meters =$250.00; 1" meters = $320.00) Z ���'����2
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Serial Number: �d j /� � / �� High -
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Size: �- Brand: TV�1�- Type:
?�ieter Fee: � � � 7"a �o�
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Si�nature of Applicant: `' �� � , Date: � � �I �
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Ntake Copies For: 1-Address File 1-Utility Billing Dept 1-Cash Reeister
�`;`,(Fot-nis)\�VateiYneter Sale Fonn.�tipd
(Updated Ol/12/04)
CITY OF ORONO SALE OF WATER METER .f r��
Box 66 (2750 Kelley Parkway)
Crystal Bay, Ml�' S5323
GENERAL INFORMATION
1. Water meters must be picked up and paid for at City Hall.
2. Water meters must be set and sealed by Orono Watei•Department(952-249-4600)upon
completion of ineter installation. ��
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JOB SITE ADD SS: ���U�� G��� ��u�l (�,7 0 S�¢�8 �
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Occupancy Type: Residential �'� Commercial
Owner's Name: Phone Number:
Mailing Address: City: Zp;
Contractor's Name: �-� �- (�-�,�� 1�L ,. phone Number: �(� j. �.�a . ��,2u
Mailing Address: ��j 5 -(5�'�f l.�t,��.,l:t� City: t2c���y�„ 7�, �j �� �
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METER INFORMATION
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(5/8" meters=$210.00; 3/4" ineters;=$250.00; 1" meters= $320. 0) �� � � ,!���._� ���s'
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Serial Number: 0?9�5.373� l07o S th
�� ERT # 03- a/y�/73�b
5?9�,/53 7 3 / Z v 4 c.�d s'``"^.`-�,�T,�E-b3 a/�� 7�a 7 (o
Size: p"Z �� Brand: Typc:
Mete�•Fee: $
c
Signature of Applicant: ln-/ Date: '� �
Make Copies For: 1-Address Pil� 1-Utility Billing -Cash Re ist
V:\(Forms)\Watermeter Sale Form.wpd