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(Upclated 01/1 Z/04) <br /> CITY OF ORONO SALE OF WATER METER <br /> tDivX 6V �2%'SO KC11Cy PAIKW3y� <br /> C�ystal Ba3�, MN 55323 <br /> GENERAL INFORMATION <br /> 1. Water meters nnist 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 iostallation. <br /> JOB SITE ADDRESS: �G, 9.S — A £LL y /�ll � <br /> Occupancy Type: _�_Residential Commercial <br /> Owner's Name: Phane Number: <br /> Mailing Address: City: 7�: <br /> Contractor's Name:"(�-�� S o,�, �L����, Phone Number: gsa_ 933-�7l 7 <br /> Mailing Address: ��po t Nlz�.,N�-�-�„�,,�q �JDS Y�City: N�u�KpF 71p: �5Y3S— <br /> METER INFORMATION <br /> (5/S" meters = $210.00; 3/4" meters = $250.00; 1" nleters = $320.00) <br /> Serial Number: � � �j S L� � z.� ERT # 03- � � c� (�� L� c�� <br /> � �Size: ` �. Brand: � ��� r� � Type: Q c� h.� <br /> �_� � �`� <br /> Meter Fee: $ ' '� <br /> Signature of Applicant: Date: I— l `/�— O� <br /> Make Copies For: 1-Address File 1-Utility Billing Dept 1-Cash Register <br /> V:\(Forms)\Watermeter Sale Fotzn.wpd <br />