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CITY OF ORONO SALE OF WATER METER <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, MN 55323 <br /> GENERAL INFORMATION <br /> 1. Water meters must be picked up and paid for at City Ha1L <br /> 2. Water meters must be set and sealed by Orono Water Department (249-4600) upon <br /> completion of ineter installation. <br /> JOB SITE ADDRESS: ��/ ^ 1 /�.�/ <br /> Occupancy Type: (/ Residential Commercial <br /> Owner's Name: �/���to �/'�57��Gl�''J�' S Phone Number: � S � -.�9y 3 <br /> Mailing Address: �,����33� , //� �,C�t3'� ���U �P:--�>��� <br /> Contractor's Name: �/��� (��"%/fG/� � Phone Number: �-`'�� — �<�� <br /> Mailing Address: ���� �l,�C�/�S /�-(/�' City: ��� 7ip: ��d <br /> /�� �l/��i"r,�� <br /> METER INFO ON <br /> �(5/8" meters= $130.00; 3/4" meters = $180.00; 1" meters = $240.00) <br /> _--�-------- ---� <br /> � � � � ,3� <br /> Serial Number: � �, �����] Remote Number: � � <br /> Size: .��/ � Brand: ����td-� n1�ti���_ Type: /�a�� a S <br /> MeterFee: � $ _�� ���� <br /> Signature of Applicant: .: Date: � — � � �� ��l J <br /> cc: addresss file,Utility bill g Dept,cash register <br /> X:�APPS\W PW IN60\WPDOCS�FORMS\WATERMETER <br />