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[� 5/8"M[T'CR- � 3J4��METER- ❑ 1"M�TCR- <br /> [?r5i8"HORN - ❑ 3/4'`t{ORN - ❑ 1"HORN - <br /> � "WA'fEli METER (THESE WILL HAS'fi TO BE SPECIAL ORDF,RED&PRiCES DETFRMINF.D) <br /> 1. METER FEE: $ <br /> 2. HORN FEE $ <br /> 3. TOTAL,PERi4ilT FEE(Add Lines 1-2 Above) S <br /> ��` �> ';j.,,�,�t �+ .��� � <br /> =r" —:�"t .:i� ^a�`S-..�'� :;'.. 3P. <br /> * Fo:Cusrent Pri:,�itefer to Curr�nt Y�ar- �later Meter Pricing Cha.-t* <br /> BRAND: �Q��I/L✓�.— w.: <br /> ED2B11RDG3 <br /> SiZE: 5!8" �]314� „ 5/s"x 3/a" <br /> ❑ i" ❑och� 35736155 III <br /> SLRIAL#: ��� J�D) �S ;i NI IIII IIIII IIIII IIIII IIII I <br /> _a;. .-;....._ <br /> ER'T HIGI�#: � ������ S I e�n (if applica e IIIIIIAl1111111111111111N11 <br /> 1545399566 <br /> The undersigncd hereby applies to the City of Orono for issuance of a water meter pe�mit,agrrces <br /> to do all work in strict accordance u�ifh tfie ordinances of the City and the regulations of the State <br /> of Minnesota,and certifies that aIl statemcnts made on this apptication are,true and correct_ <br /> Applicant: �(1�dI,DLb r ���� Date: 1�'�'�ll'7 <br /> Original: I-�4ddress 7•'i!e <br /> Make Copies Fur: 1-L'tilitv Bi[ling Department 1-Cash Drcrwer <br />