HomeMy WebLinkAbout2004 - sale of water meter Sep 27 05 12: 32p Westonka Mechanical Contr 612-472-4961 p. 1
Sap-2T-2005 1I:44am From-CITY OF ORONO +5522484616 T-558 P.002/002 F-400
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(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 mustbe set and sealed by Orono Water Department(952-249-4600)upon
completion of meter installation.
JOB SITE ADDRESS: _IVY- t4,14 l t)/tt9,4_ .:..,1(21 .ci -
Occupauey Type: l Residential CornMercia1
OW-REV sName: ) eL _ /e /dr/ .. ... Phone Number:
Address: _, 0,5 Ca /1/44._d...67. ity:LCr ti/ ddp: ss32S
Contractor's Name: j //1/I L/ J[L/ / ' • Phone Number:_ 5.2
Mailing Address: —CAghFe44,L"-.J) _ City: Zip:cy
METER INFORMATION
(5/8" meters=$210.00; 3/4" meter4=$250.00; 1" meters = $320,09)
Serial Number: ��� 9c/ ERT# 03 --;?)48'63(.45
Size: Brand: 4A06-67Z Tye: (e€c?,-c- c J(
Meter Fee:
Siguature of Applicant: A _I Dar /
Make Copies For: 1-Ad; s'File 1-Utility Billing Dept t-Cash Register
V•\(Farms)\Watermeter Sale Form.wpd