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sale/water meter
(Updc�ted Ol/1 Z/04) CITY OF ORONO SALE OF WATER METER Box 66(2750 Kelley Parkway) Crystal Bay,MN 55323 GENER.AL INFORMATION _ 1=----Watermetersm��� ��k� � �t3r ---__ - - --- ---- - ____�__ �� �p and��d.fnr_at_C� I�all.___._ -_____---------------- __._---__._._. 2. Water meters must be set and sealed by Orono Water Department(952-249-4600)upon completion of ineter installation. JOB SITE ADDRESS: �`/ yt,( (�c�('� Occupancy Type: Residential Commercial Owner's Name• �� Phone Number• Mailing Address• City: 7�p: Contractor's Name:����,rr�� � Phone Number: �G 3 � Y 9�'��� �/ p� � Mailing Address:/o�o� 70�''�� �J"�� � ..� City• GI;c�7�p• S`��c3 �� � v METER INFORMATION (5/8" meters=$210.00; 3/4" meters=$250.00; 1"meters =$320.00) Serial Number: ����o� ���r� ERT#03- aa� (o��o�� i, ` Size: S Brand: ` ��l =C� Type: �co�r,f�/ MeterFee: $ 02 /Q. (�d ` Signature of Applicant: Date: 5� �'�� ` �.S— Make Copies For: 1-Address File 1-Utility Billing Dept 1-Cash Register V:\(Forms)\Watermeter Sale Form.wpd