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'� � i <br /> WATER METER PERMIT FEES <br /> WILL BE CAULUL�TED BY CITY STAFF <br /> �/8"METER- ❑ 3/4"METER- ❑ 1"METER- <br /> /8"HORN - ❑ 3/4"HORN - ❑ 1>,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 Curre�t Year - Water Meter Pricing Chart * <br /> ,%�/" �i' �`�--� <br /> BRAND: i <br /> SIZE: 5/8" ❑ 3/4" ❑ 1" ❑ Other " <br /> �� S/8 x 3/4 <br /> III II IIIII I IIII I111 III III II II <br /> SERIAL#: isaoiosz�a R$506712 <br /> ERT HIGH#: (if applicab; �I IWII�II I�I� f i I�IIIIIIIIIII��IIIIIIIIIIIII <br /> ;r <br /> ADDITIONAL INFORMATION—WATER METERS � <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 /> �����i�� Date: �" � �1�(C __ <br /> Applican� <br /> Original: 1-Address File <br /> Make Copies For: 1- Utility Billing Department <br />