HomeMy WebLinkAboutsale/water meter (Updatecl 01/12/04)
CITY OF ORONO SALE OF WATER METER
Bor 66 (2750 Kelley Parkway)
Crystal Bay, M1�1 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 installation.
JOB SITE ADDRESS: 1`� 0 Z-` �C'1�� ��1'�
Occupancy Type: �Residential Commercial
Owner's Name: ���� ����i�l'�P �✓h2� Phone Number:
Mailing Address: City: 7�p:
Contractor's Name: � �(�►.,b Phone Number: �Zr 3{O7 32�(�
Mailing Address: ��� �L'l�G'�� '�'� City: � .� 7aP: ��` �
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lYIETER INFORMATION
(5/8" meters = $210 , 3/4" meters = $250.00; 1" meters= $320.00)
Serial Number: �� 3 �—I ZCP(.p ERT # 03- '�a �2-�SO�
Size: � �,\ Brand: �c,�� Type: KsLc o�d2�--� (
Meter Fee: $ � � O ' �
Si��ature of Applican : Date: � �� �O'v�
Make Copies For: 1-Address File 1-Utility Billing Dept 1-Cash Register
V:\(Fornis)\Watenneter Sa(e Form.�vpd