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