HomeMy WebLinkAboutsale/water meter (Updated Ol/12/04)
CITY OF ORONO SALE OF�S�ATER METER
Los 66 (2750 i�elicy rarkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
l. Water meters must be picked up and paid for at City Hall.
2. Watec meters must be set and sealed by Oi•ono�'atei-Department(952-249-4600)upou
completion of ineter iustallation.
JOB SITE ADDRESS: �D�� �Lf„�� •�.,� ' �( --� (�J
Occupanc�� Type: �_Residential Commercial
O�i�ner's Name: .�o�,� —\�'rvz;�,� C-P '"�l')-�'/) Phone Number:
Mailing Address: City• Zp:
Contractor's Name: 2 � ' (,n�. �N T p �
l� Pl�one number: ��2 �/�� S��I
Mailing�i,ddress: City: 7�p:
METER INFORMATION
�--4-=-_._.
" meters= $210_00� 3/4"nieters = $250.00; 1" meters=$320.00)
Serial Number: /7� ��s �_ ERT# 03- � / 7 �do? �C]
..
Size: 5 S Brand: �� Type:
Meter Fee: $ ��� - ��
Signature of Applicant: Date: � � � '����
Make Copies For: 1-Address File 1-Utility Billing Dept 1-Cash Register
V:\(Forms)\Watermeter Sale Fonn.wpd