HomeMy WebLinkAbout2004 Water meter sale Nov-15-2004 10:38am From-CITY OF ORONO +9522494616 T-181 P.002/002 F-109
(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 Water Department(952-249-4600)upon
completion of meter installation.
JOB SITE ADDRESS: C/(rC�'1-6%) i ? .ea/
Occupancy Type: X _Residential _ Commercial
Owner's Name: / 1 --'� 5__ 5
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� yN ��' Phone Number:/��� /6��-� /�
Mailing Address: A , 1/ is(/;7i_ City• / � gip; �`���
Contractor's Name:,��� __ ,/ o ;, � Phone Number: 0)�
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Mailing Address: �� / Cit
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ME TER INFORMATION
(5/8" meters= $210.00; 3/4"meters=S250.00; �,, 1"meters=$320.00)
Serial Number: 1 e 7 L/ ERT#03- / a U 9 L/( , Cz
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Size: ! Brand: 7 Q ���`f
Type: C� 1
Meter Fee: $
Signature of Applicant: _
� PP Date: ///V44_
Make Copies For: 1-Address File I-Utility P y g sept 1-Cash Register
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