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(Updated 2/12/Ol) CITY OF ORONO � SALE OF WATER NIETER Bos 66 (2750 Kelley Parkway) Crystal Bay,11�I�i t ��323 /'_ ,- . �.;,_<._,-i ; GE�IERAL INFOR�'�iATION 1. Water meters must be picked up and paid for at City Hall. 2. Water meters must be set and sealed by Orono WaterDepartment(9�2-249-4600)upon completion of ineter installation. JOB SITE ADDRESS: .:����C�' .-��,(�� �?; ,J�J��c-� Occupancy Type: � Residential Commercial Owner's Name: Phone Number• Mailing Address• City: 71p; Contractor's Name: �'• =•� /��%� �,�i��.�/-/,�, _ Phone Number: �JJ�f��` Q%� _� Mailing Address: �����!��-� l�e.�� 1��..,•?:J,-� City: <�r C.: c�-- 7aP: ��.::357� NIETER INFORi'�IATION _---... � (5/8" meters = $130.00; 3/4" meters =$180.00;�1" meters = $240.00) �---�_=___ Serial Number: r% ;�;� ���� Remote Number: �0� �%Cc�0 %;'� ,, � Size: �� Brand: ��-c,>�:,��L����;��'� Type: �/�d���i� 3� r OL� Meter Fee: � 1 J J` Signature of A ' ant: Date: � �`��" � � cc: addresss file,Utility billin�De cash register (Updated 01/12/04) CITY OF ORONO SALE OF WATER METER . Box 66 (2750 Kelley Parkway) Crystal Bay,MN 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�Vater Department(952-249-4600)upon completion of ineter installation. JOB SITE ADDRESS: �::�,� � �' ��El`��.J `l�G���CJ�d'� �Zd� � / Occupancy Type: Residential Commercial �-.. Owner's Name: � L��,�;���� � f= ��,� (/L:,1'� Phone Number: �,S Z — `�7� '" 3 �5 3 Mailing Address: �7Cc�`/ � . .5��l�� �1� �. G'V City: fit.iG�;'2�<I%G�- 7ip: "- "� 3 � Contractor'sName:�.i� �' V/Ll� l�LvwtrSl�tiC� Phone Number:_`� Sa -Y 7 3—� 7� 3 Mailing Address:l���(�-/'S jit,', Gc,li�y�v-�i;�-'1 �S _✓1�. City: L��c�..��, L�1 K� �.. SS=3 SF� f'v t;�>>( /S� METER INFORMATION (5/8"meters=$210.00; � 3/4"meters=$250.00; � 1" meters=$320.00) �� __.-� Serial Number: �� �% � -�' '� �� —� � / r !� Size: --�/ y Brand: %�'.� c.(���'�' Type: c1i C�'✓i (� /�\ e c��''/� �,�?T C�} �;; -- ��. l �� �� ��G / f�-�� _�� � ��, , C�C; Meter Fee: $ . � __� �: . �" � n � .' , , j� � I Signature of Applic �t: � ` ` 'Date: Make Copies For: 1-Address File 1-Utility Billing Dept 1-Cash Resaster X:�Data�Adminishative Support�(F'orms)\Wateimeter Salo Form.��pd ii �: I � �';� ' ; i, �k " ' ;'i � ' .. .:�. �{I i:' � '� i � � � �h, +n �v � U01 y 'li .� . . .... .. ..... .. .. .�. . .. ,� lii. , � �, , :�ii. ��., .)�i :� 1.. �.� y ..„ f „Pil �I ;�d '::i� r���i i W�� �°: .� :�.