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HomeMy WebLinkAboutSale of water meter (Updatcd 01/1�/�4) CITY OF ORONO SALE OF WATER NiETEit Box 66(2750 Kelley Parlcway) Crystal Bay, MN 55323 � GENERAL INFORMATION 1. Water meters must be piciced up and paid for at City Hall. 2. `Vater meters must be set and sealed by Orono Water Department(952-249-4600)upon completion of ineter installation. JOB SITE ADDRESS: � 3C�G' ��-,t,,:,��-�1% =�1���� Occupancy Type: Residential Commercial Owner's Name: Phone Number: Mailing Address: City: 7�p: —, .�. Contractor's Name: _ �r'' L `Y1�[.�, �--��L Phone Number: l,5� - '7 S�� -C::'C�?,=,�� Mailing Address: ��.5,�'„� L i�, 1 �� S�= City: �;��/�r��°�.:i� 7ip: S'� ���'�� NIETER INFORMATION (5/8" meters = $210.00; , ' 3/4" meters = $250-00; � 1" meters = $320.00) �. � ,_ __,_ _ _-� __ _._---- - -___ Serial Number: ��/� J � �%(� � ERT # 03- �� �� �j (,ci � � -> >� �; -� Size: � c= Brand: i. ?���1� ,� �" Type: {� � � o�<_��t �( � Meter Fee: $ �� �jC'i� �U � /f � _ Signature of Applicant: / , r Date: �- � �~ .i � "._ , ,. Make Copies For: 1-Address ile 1-Utility Billing Dept 1-Cash Register V;\(Forms)\��'atermeter Sale Form.wpd