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2004- Water meter info
(Uprlated 01/12/04) CITY OF OROl�'O SALE OF«'ATER IITETER L�� �6 (2 i 5G iLciiey rdrxwayj Crystal Bay, MN 55323 GENER�L INFOI2MATION 1. Water meters nnlst be picked up and paid for at City Hall. 2. Watei-meters must be set and sealed by Orono`��ater Depa��tment(952-249-4600)upou completion of inetei• installation. JOB SITE ADDRESS: ,-� 'r� .�- _�? � -�, '� � � ) �� , c�� � ,� -� t �,, � Occupancy Type: � Residential Commercial ,-- � C Owner's Name: .��5�� j���2��rVl 1 C:�� �� ?'haae Nun:b�r: v ' � ��i� � `����I � S.7S^3 CA�c� �v� c�t �'���� � �: S�3S Mailing Address: y; � � Contractoi•'s Name: ��S ar.f �YZ���v�L� t� phone Numbei: 6 � 2 " ��- ���j' , MailingAddress: 3�� ����'� �J�- City: �2-�'�� 7�p: Ss3y� METER]NFORMATION .,..�--.._--------_�� (5/�" meters = $210.00; ���3/�" meters = $250.00; 11" meters = $320.00) ___------_._..._, % ____ — _.___._._ ---_ Serial Number: I L,- �-S� /��;��=' ERT # 03- .� �J �1�a /_>(1- �� , � � ;) ,�� Size: � Brand� �. >` t'��� ��( c r�� Ty�e: i ��,zr.� �'�c-_��; T MeterFee: $ ;� �C-�� � �'�' t, Si�nature of A licant: ��'�'` 1�"`-'^ 1 - C- �" � PP Date: I (, � Make Copies For: 1-Address File -Utility Billing Dept 1-Cash Register V:\(Forms)\Watermeter Sale Fonn.wpd