HomeMy WebLinkAboutwater meter sale Y2r-18-2003 08!18zm From-CITY OF ORONO +9622464616 7-084 P-002/002 F-860
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CITY OF ORONO SALE OF WATER METER
Roz 66(2750 Ye)Lry Parkway)
Crystal Bay,MN 55323
GENIrRAL 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(249-4600)upon
completion of meter installation.
JOB SITE ADDRESS:
Occupancy Type: Residential Commercial
Owner's Name:
n Phone Number
Mailing Address: \5� n City. tl 7 x 1
Contractor's Name.
FboneNnmber�5a-°1���1�
Mailing Address:k'S� o. ��- - ty:�'� - 5�
METER.IffORMATiOl�I �}},
(5l8 meters—$130.00; 3l4'meters=$180.00; `` _
Serial Number: Remote Num N
Size: Brand, Type:
Motor Fee. $
Signature of Applicay � [ dC _ Date:
cc,addresss file,Utility billing Dept,cash register
X-.VII WPWIN601WPDOCSTORMSIWATERMHT'SR
(Updated 01/12104)
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 Water Department(952-249-4600)upon
completion of meter installation.
JOB SITE ADDRESS:
Occupancy Type: X Residential Commercial
O e
Owner's Name: AW/Ir 7L - k e5)r� C-e— Phone Number:
Mailing Address: City: or?74, 2 lip:
o q5 a- 933-
I Contractor's Name: o1)VS0A) .D l�MI('7%Phone Number:
Mailing Address: ISDn1 Pfk g 1 AV,,�1 I �� City: 01;0e7 /Wkr9 Tp: 5 5
For I-hL Now— " /rye �� /,►v�
in e,4 Fb{ spriNk�
METER INFORMATION s�
(5/8" meters = $210.00; 3/4" meters=$250.00; 1" meters = $320.00)
Serial Number: /Y7`t 92 ERT #03- ?— ) 2 0 q�W4.
Size: Brand: c,r� Type: /2C p L -76
Meter Fee: $
Signature of Applicant: Date: f 0'/
Make Copies For: 1-Address File 1-Utility Billing Dept 1-Cash Register
VA(Forms)\Watermeter Sale Form.wpd