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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 beset and sealed by Orono Water Department(952-249-4600)upon completion of meter installation. JOB SITE ADDRESS: //6 le-rtao--tei e.a) .U.t e. Occupancy Type: Residential Commercial Owner's Name: ,* _/c__-% ,_, Phone Number: 7�. '-7�j (5.7. Mailing Address: /5�'/ ,_ , 70 City: (.-e.— lip: A Air Contractor's Name:�� iO / Phone Number:'7 .3-Z 4. yy46T7 Mailing Address: /56;7/ ),<-., 09; :ZCity: ,�z{- 5� �����-�1 �� X METER INFORMATION (5/8" meters= $210.00; 3/4" meters =$250.00; ' 1" mete'rs =$320.00) Serial Number: '3"<_ . Co q 1 / 5 ERT# 03- : O.. r , Size: + „ Brand: 16'-e(9)2.1/- Type: le LI_o r'c I a-- (1 Meter Fee: $ jc cr.') 0 ) Signature of Applicant: Date: ,%2Afx- At-1/-/ //. & '&-- Make Copies For: 1-Address File 1-U . ' Bi'ing Dept 1-Cash Register V:\(Forms)\Watermeter Sale Form.wpd