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(Updated Ol/I Z/04) <br /> CITY OF ORONO SALE OF WATER METER <br /> Box ti6 �27�u xelley Parlc�vay) <br /> Crystal Bay, MN 55323 <br /> GENERAL INFORMATION <br /> 1. Water meters must be picked up and paid for at City Hall. <br /> 2. Water meters must be set and sealed by Orono«'ater Department(952-249-4600)upon <br /> completion of ineter iustallation. <br /> 3 � � �� <br /> JOB SITE ADDRESS: _ ���/S(�-L �j/�-Y ,,� <br /> Occupancy Type: �_Residential Commercial <br /> � <br /> O���ner's Name: ' r��-�/�',�,L ��.�2,�/�.� Fi�oue Nutnber: <br /> Mailing Address: Citv: �p: <br /> Contractor's Name:��[",S;�� �LGt�{,p,i/�G; Phone Number: `/S� -�%�-7�c��� <br /> Mailing Address:_l��f�1 �Z�'J'�'�� 1�-v( Cit 5/�-[�/-�Cyc_ '� ' <br /> r <br /> Y� 7�p: S��7�, <br /> METER INFQR�VIATION _. <br /> /r�:- -..., \ <br /> /(5/8" meters = $210.00; �� 3/4" meters = $250.00; 1" meters = $320.00) <br /> ��� <br /> Serial Number:--�-'�'7�% ���7S�/ ERT # 03- ��!� �i' �� � '3 <br /> Size: 5 � <br /> �` Brand: �C.tc"{�C�.QhJ TyPe: <br /> � <br /> Meter Fee: $ <br /> �2/O ° �' <br /> ;� <br /> , �� <br /> Signature of Applicant: � . �� Date: 7�5�ljy <br /> Make Copies For: 1-Address: �ile 1-Utility Billing Dept 1-Cash Register <br /> V:\(Forms)\Watermeter 3ale Fonn.wpd <br />