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. <br /> � <br /> ���~ '� °'" <br /> �T,.: E �,� , <br /> ,�.:: ���.��< �;. <br /> °�"�` �' �.-�� <br /> ❑ 5/8"METER- ❑ 3/4"METER- 1„METER- <br /> ❑ 5!8"HORN - ❑ 3/4"HORN - "HORN - <br /> � "WATER METER (THESE WILL HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED) <br /> 1. METER FEE: $ <br /> 2. HORN FEE $— <br /> 3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $ <br /> CITY-USE ONLY <br /> * For Current Pricing Refer to Current Year-Water Meter Pricing Chart * <br /> Bjtp�; ED2F11RDG3 �e <br /> �.. C+c� <br /> SIZE: ❑ 5/8" ❑3/4" ❑ 1" ❑Other " 53713914 IIIIIIIIIIII <br /> SE�L#: IIINIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> ERT HIGH#: �������MNa���r0°° (if applicable) <br /> 1542129104 <br /> AD�iT�O3�I�1I..iAiF�D�AT'�03�-@VA'T��.�ETETLS <br /> The undersigned hereby applies to the City of Orono for issuance of a water meter permit, agrees <br /> to do all work in strict accordance with the ordinances of the City and the regulations of the State <br /> of Minnesota,and certifies that all statements made on this application are,true and correct. <br /> Applicant: <br /> Date: � � �r <br /> Original: 1-Address File <br /> Make Copies For: 1- Utility Billing Department <br />