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HomeMy WebLinkAbout2004 - water meter sale (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. s JOB SITE ADDRESS: ?�i- iit ' -e�z0 1V ue-ty Occupancy Type: /- Residential Commercial Owner's Name: Phone Number: Mailing Address: City: Zip: Contractor's Name: i Phone Number: 7 7, `f 2 -Z/6-7(7 Mailing Address: /024)7D -9 3 Ailic ` \I ; g, City:2 tzeZ,fZip: ,5.15,3')0 METER INFORMATION 41 eters = $210.00; 3/4" meters=$250.00; 1" meters= $320.00) Serial Number: / -no- 69755 ERT # 03- a /Co 2 2c1 ,'10 Size: <:--y--- Brand: ,6CA-dy,C/- Type: re-.-�.� rc �� Meter Fee: $ '/d- w Signature of Applicant: C______ Date: '-'7 y Make Copies For: 1-Address File 1-Utility Billing Dept 1-Cash Register V:\(Forms)\Watermeter Sale Forrn.wpd