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, <br /> WATER METER PERMIT FEES <br /> WII,L BE CAULULATED BY CITY STAFF <br /> ;� 5/8"METER- ❑ 3/4"METER- ❑ 1"METER- <br /> �3�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 Current Year - Water Meter Pricing Chart * <br /> BRAND: ,r I�=' ��—�T/�--.IC_..-� <br /> SIZE: 5/8" ❑ 3/4" ❑ 1" ❑ Other " <br /> SERIAL#: �n��iusaoo�9��ai�o�� <br /> 5/8 x 3/4 <br /> ERT HIGH#: (if applicaY 68506706 <br /> i�l ���I I II I II I I II II I I II <br /> ADDITIONAL INFORMATION—WATER METER� i <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 /> _.._� � � � � /� <br /> Applic Date: <br /> Original: 1-Address File <br /> Make Copies For: 1- Utility Billing Department <br />