Laserfiche WebLink
WATER METER PERMIT FEES <br /> WILL BE CAULULATED BY CITY STAFF <br /> ,�5/8"METER- ❑ 3/4"METER- ❑ 1"METER- <br /> 5t8"HORN - ❑ 3/4"HORN - ❑ 1„HORN - <br /> � "WATER METER (THESE W1LL 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 Cunent Pricing Refer to Current Year - Water Meter Pricing Chart * <br /> � <br /> BRAND: � .-��. _�/�.. /L-��-' .. <br /> SIZE: �] 5/8" ❑ 3/4" ❑ 1" ❑ Other " <br /> �\ 5/8 x 3/4 <br /> SERIAL#: � unimnimnniiiwinn 68506710 <br /> ERT HIGH#: isaoos,aso (if applic< �IIIII�It�I�II��IIIIIIIItIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> ADDITIONAL INFORMATI4N—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 /> Applica • ` Date: �� �� � � �� <br /> Original: 1-Address File <br /> Make Copies For: 1- Utility Billing Department <br /> � <br />