HomeMy WebLinkAboutsale/water meter (Updatecl 01/12/04)
CITY OF ORONO SALE OF`��ATER METER
��x 6v` (2 i 50 iieiicy rarxway)
Crystal Bay, MN 55323
GENERAL INFORI�ZATION
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: ��$� �c�S`�'D�ct
Occupancy Type: �Resideutial Commercial
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Owner's Name: � a � � ;�,��.{ Phoue 1�7umber:
Mailing Address: City: 7�p:
Contractor's Name:—�'�,`��C'.� (� (�,�,�,.C�(, Phone NumbL�i�Z� �O�' 3 Z��
Mailing Address: ��4� Ci�S f�"– City: � Zp; � �
METER INFORMATION
(5/8" meters = $210. '; 3/4" meters = $250.00; 1" meters = $320.00)
Serial Nuinber: ��'Cy ��' �j�J ERT # 03-_ ._-�, / "7 ��`���
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s�ze: ��'"`�
Brand: ��_��' Type: `7c"� l �' (�-�`�
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Meter Fee: $ .� ��� �J
Si;nature of Appli t: Date: �r' � � �
Make Copies For: 1-Address File 1-Utility Billing Dept 1-Cash Register
V:\(Forms)\Watermeter Sale Form.wpd