HomeMy WebLinkAboutsale/water meter (Updcztecl Ol/12/04)
CITY OF ORONO SALE OF WATER METER
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. Water ineters 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: �-`� �G' ��`�`=`� S��"'�
Occupancy Type: '�— Residential Commercial
Owner's Name��`�`�� ��' U � �« <'�9�5 Phone Number:
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Mailing Address: City: 7�p:
Contractor's Name:��]L"��%' 1�?�� � Phone Numberc�s� �'Z�� �3c��
Mailing Address:�'�=5 �� �r y+ k-s ��— City: � 7ap: � 5 `�``� �
METER INFORMATION
r'� (5/8" meters =$210.00; , 3/4" meters = $250.00; 1" meters = $320.00)
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Serial Number: ERT # 03- � � (,, �1 , / (�
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Size: ��� � Brand: '-�� ��'Z Type: � « � �-'Z'
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Meter Fee: $ �_� 1 C •
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Signature of Applicant: ��� Date: �`— ��'- �� �
Make Copies For: 1-Address File 1-Utility Billing Dept I-Casli Register
V:\(Forms)\Watermeter Sale Form.wpd