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Dec-29-2003 10:27am From-CITY OF ORONO +9522494616 T-574 P.002/002 F-440 <br /> 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 Hall. <br /> 2. Water meters must be set and sealed by Orono Water Department (249-4600) upon <br /> completion of meter installation. <br /> JOB SITE ADDRESS: 7,95 /44•//, //leU/ Dr v • <br /> Occupancy Type: Residential <br /> Commercial <br /> Owner's Name: f Y ,')Sk 11 pims . <br /> _ Pbone Number: <br /> Mailing Address: • City: <br /> Contractor's Name: C e n S - e l Cm-es Phone Number: <br /> Mailing Address: City: 7113: <br /> METER INFORMATION ^ <br /> (5/8" meters =$130.00; 3/4"meters=$180.00; 1" meters =$240.00) <br /> Serial Number: / "7 9 Z 6-/7 Remote Number: / • <br /> Size: <br /> Brand: - Q —j4,-K. Type: A4 ( / 70 3y7/n—O-73 <br /> Meter Fee: $ ;/O <br /> Si / 1 <br /> Signature of Applicant: � �`"K--- Date: /�—30 —03 <br /> cc:addresss file,Utilitybit :�T Dept,cash register <br /> X:\p,PPS\WPWFN60\WPDOCS •r:' 1S\WATERMETER <br /> LOCATION:+9522494616 RX TIME 12/29 '03 09:21 <br />