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1 • <br /> [� 5/8"M[TL-R- � 3'A=`METER- ❑ 1"MCT�R- <br /> Q�Si8"HORN - ❑ 3/4'`t�ORN - ❑ ]"NORN - <br /> � "WATER METER (THESE WILL HAVE'f0 BE SPECiALORDE,RF.,D&PR[CF.S DETEftM[NE.D) <br /> i. ME"I'ER FEE: $ <br /> 2_ HORN FEE $ <br /> 3. TOTAL PERMIT FEE(Add Lines t-2 Aborej 5 �Z��/1 <br /> '�-�: ���,'` '�"�.��-s�����;�'����. ��. - � ..n <br /> * For Curr�nt Pri�i�Refer to Current Year-Water Meter Pricing Chart* <br /> BRAND: ED2B11 RDG3 Y� <br /> c / 5/8"z 3/q^ <br /> s[z�_ �j s,�s" ❑3/4� ❑ i� ❑ott�er °° 36789308 <br /> ! \ — IIIIIIIIIIIII�I�IIIIIIIIIIIIIIII�IIIIIIII <br /> SERIAL#: <br /> ER?HIGf{�: (if appiicablej ��►7g38926 <br /> The undersigned harby applies to the City of Orono for issuance of a water meier pem�it,agrees <br /> to do all work in strict accordance with ti�e ordinances of the City and the regulations of the State <br /> of Minnesota,and cextifies that all statements made on this app[ication are,true and correct_ <br /> Appticant: �e��l���/ l��,� Date: �'��•zQ l g <br /> Origina/: 1-�4ddress File <br /> Muke Copies For: 1-Utilitv Billing Departmenl I-Cash Drcrwer <br />