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12/28/2004 12:18 FAX 763 591 6071 IVERSON C�]002 <br /> ��� �s2 '��� ���� <br /> (rJpdated Ol/Z2/04) <br /> C�TY Ok' ORONO SALE OF WATER METE�2, <br /> Box 66 (2750 Kelley parlcway) <br /> Ctystal Bay, 1V,IN 55323 <br /> GEIV�ERaI, INFORMA,TION' <br /> 1. Vlrater n�eters inust be picked up and paid i'or at City�ia11. <br /> 2. Water metexs must be set aud sealed by Orono Water Aepartment(9S2-Z49-4600)upon <br /> completion of�eter ir�stallataon. <br /> J08 SITE ADD�SS: �� <br /> Occupancy Type: Residential Commercia� <br /> �, <br /> Owne�r's Name: ' � Phone Number: <br /> 1V,iailing Address: City: <br /> �= <br /> Contractor's Name; Phor�e Number: �Gf'�- - <br /> Mailfag Address:_�O� ���/hOLJ � , City• 0 7�:_ J�7 y� <br /> METEIt N�'ORMATIOI� <br /> (5/8" meters=$210.00; 3/4"meters = $250.00; 1"mcte�s =$320.00) <br /> Ser,aal Nu�b�r: 't��-�u .—� 1 U �(O EZ2T# 03- �:2�75 C:��Z�" <br /> ��-� �� -� <br /> SI.ZE: _ �/ �) .BT111C1: �' „�,�.�,��� �� r _ <br /> , Type: i c.�:l..��;c ��,�:�_.�; <br /> ll�eter Fee; $ r �� G�: <br /> Sigraature o.f App� cant: Date: �� O^� <br /> Malce Copies For: 1-Address Filc I-UtiliCy Billin�Dept 1-Cash J,Zegister <br /> V:\(Forms)\Watcrmeter Sr�le Form.wpd <br />