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Water meter
Jan 31 08 08:02a Iverson 3202745527 p.� �pclnted 01/1%/04) CITY OF OROl�O SALE OF tiVATER METER Box 66 (2750 Kelley Pariny�ay} Crystal Bay, IVII� 55323 GENER�iL INFORIb1_ATIOv 1. Vt-'ater meters nnist be picked up and paid for at City Hall. Z. '�Vater meters must be set andsealed by Orono'4Vater Department(952-249-4600)upon completion of ineter installation. JOB SITE ADDRESS: �c�� �,� ���-- ��G'IG' � �ccupancy �'ype: _�_ Residential Commercial ��c��ner's Name:� � T Phone Number: Mailing Address: City• 71p• Contractor's N�me-� �� � Phone Number:�Q�Z� 3!�-�� l�Zailing Address:__��pC�j ��U��v'� � City• yw 71p`E'��! 'L��� �0 N�dET��2 �NFOR141A'�IOl�' � :�1�.� � (Si ' ers = �210.00; 3/4" n�eters =�?50.00; 1" nleters =$320.00) ����� ���ii��a�n��u� Serial Nun�ber; __ � ERT � G3- 1e�o�as� � r Size: � � Brand: Ty��; itileter��ee: s 3��. `� � Si�lature of App;icant; Date: � � � '�� `1al<e Copies �or: 1-Address File i-Uti:ity Si;;ing Dept 1-Ca�h Register l':1(Fo:7115)1Wate�zneterSale Form.�vpd