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I �` <br /> � . <br /> (UPdated 01/12/04) <br /> CIT'Y O]E ORONO S�,L,E OF«ATJCR n7E�'ER <br /> BoY 66 (2750 Kelley Parl��ay) <br /> Ctystal Bay,MN 55323 <br /> G�1�TERAL. i1�FORIVIATION <br /> 1. Water meters iiiust be piciced up and paid for at City Hall. <br /> Z. �Vater meters niust be set and se�lec�by Orono`Vater Departmeeat(95?-249-4600)upon <br /> completion of ineter installatioi�. <br /> 'i�'C��"� �S�/C>�FL%%JE .1�/� • ,�_' �-��.,�-. ��-� � C,�..r._.,jF=r— <br /> JOB SITE ADDR]ESS: � <br /> Occupaucy'�'ype: Itesidential L'" Coane�ea�caal <br /> Owner'sNarne: /�'1�li�K l3��'������' Phoue IVumbe�•: Y">� � `�'�� "�SS,S <br /> 19�Iailing�dda-ess: �S�GG� :S'��2EG,��E /,��. �igy: G�e�'�;�Zi9�"/� 7�p• 55,.3�� <br /> �ontract�e�'s 1Vaar�e: ti:�,�`)/��1� Phone Nd�anbea•: <br /> 1Vlailiub Adc�ress: �ity: Zip: <br /> I' I��ETER�N�'0�1VIA'�'gOI�1 <br /> (5/S" meters = �210.00; 3!4" meters = $?�0.��0; 1" meters= 5320.00) <br /> `� <br /> Serial�i�imber: ....� =� `� ��, � � � ERT ;= 03- � �C�/1.�. <br /> '� + ' ����c���_ � <br /> Siz�: '��� Brailcl: T}1�e: f s-� �; r-� C'�:./� <br /> L � � <br /> 1�letee•�ee: %''.,- � '� � � � �J � j7C-'4 � i�l��.�'I C'� <br /> .;� <br /> 'i r': <br /> j• f' <br /> .. <br /> f ~," .� _---r�- � ,� L%CSL;��J� <br /> : �f'':� -�--�---....._.--�- � � ��r,� ,.r <br /> �i�'111TLt1'� Ot A��11Ca11t ;;'G,.-,a;:'�" D�ltc; !J ' <br /> _.,..� --�.�.. ---, ..�.' I+., C.. <br /> \'Ial:e Copies For. =:-��idress Fil_,.1�k,'tf�it}� C3illin�� Dept i-Cash Reuister <br /> ;_ �.__ --'"" � �� /. <br /> \':`f Fornts}`,.\V;ttenn�t�r Ssie Form.��,pd � �- r� •`_ <br />