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i <br /> (Upd«te�l 01/12/04) <br /> CI'�'Y OF ORONO SALE O�' �V�lTk.R ME'I'ER <br /> Bot 66 (2750 Kelley Parlcway) <br /> Crystal Bay, MN 55323 <br /> G➢�1>1L12AL IN�'OR��IA'�'YO�1 <br /> 1. Water nieters must be �iciced up and paid for at City Hall. <br /> 2. `Vater meters must be set aud sealed by Orono dVater Depai•tment(952-249-4G00)upoi� <br /> completion of ineter inst�llatioib. <br /> ; --, , <br /> JO� SI�'� ADI➢'i��SS: �.� � ;�c'��,��, �it_-c,.��. <br /> �ecupaaicg��'ype. �-�- I2esidential Corr�aa,ee•cia� <br /> Ownea-'s Narra�e; �I1011e I�LHI11�➢e9': <br /> l�ailin� �c�c�Q-ess: City: ���: <br /> � <br /> �Co�atd•�nctor's IVaane�r�,�t�c�. (���..',2���,�v+�„ Pl'one Num�er: �G� �� - �/j�� `� /��� <br /> ; � ,� `� <br /> . , <br /> � .Ja,� �� �l 3 �.� �,� j� �� , - <br /> Nlailiu �ddress• , - , -- _ r . . �ity:. ,_.�„� .e��p: � �__3:��;� <br /> 1��'I'F�2�1���R1�IA'�'��l�I <br /> (5/�" ilieters = �210.00; 3/4" uleters = �?50.00; 1" metecs = �320.00) <br /> ''' �, �0 '� .�/,-'� :� ,�C.J ( �'`t �`"( <br /> Serial N�unber: � '- (..� ERT �# 0;- <br /> � <br /> ,� � , <br /> Size: -- � j �'�S _ Brand: � >�;;,.��. i`�� �I;` Type �, ���'�����t'=-�i <br /> l�7et��a��'ee: � <br /> ::� ��� �T�� <br /> ,� <br /> � <br /> Si�iiature of appliclnt: �,tiL `�-�.�'�-�.�'' �,� Datc: j�-,�( �• �CJ .j <br /> i��lal:e Copies For: I-addr�ss Eile I-Utilitv C3illin�_= Dept 1-�ash Re�ister <br /> V:`,(Forms)`•1\at�rmeter Sal� Form.��pd <br />