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(Updated 01/12/04) <br /> CITY OF ORONO SALE OF WATER METER <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, MN 55323 , <br /> GENERAI, 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 Water Department(952-249-4600)upon <br /> completion of ineter installation. <br /> JOB SITE ADDRESS: ���� �� �-�'?t��� <br /> Occupancy Type: Residential Commercial <br /> Owner's Name: Phone Number: <br /> Mailing Address: City• 7�p� <br /> Contractor's Name: '�� i'l�(�/�'1 Phone Number: �I�"%����� <br /> Mailing Address:��d�� `CZ��f �� . City: d Zip• �` ' � <br /> ; <br /> METER INFORMATION <br /> � .__.. _ <br /> �_._.-�, <br /> .-- ` (5/8" meters=$210.OU;�1 3/4" meters=$250.00; 1" meters=$320.00) <br /> �-�....-- -_.._._...______�._.___.--------' <br /> Serial Number: Ral C�O? 1 R'� <br /> �, .� <br /> Size: ,�-�j �S� Brand: 5c:.�'-c Type: j��_.��G j�-Z� <br /> �✓3 '' ► 7"72Z'L(s <br /> Meter Fee: �,.�-.----.__ <br /> $ �/G', �� <br /> � <br /> Signature of Applican�: Date: Z � � <br /> Make Copies For: 1-Address File 1-Utility Billing Dept 1-Cash Register <br /> X:�Data�Administrarive Support\(Forms)\Watermeter Sale Form.wpd <br />