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.� <br /> WATER METER PERMIT FEES <br /> WII,L BE ���"I;ULA�'�p BY CITY STAFF <br /> /8"METER- � 3/4"METER- ❑ 1"METER- <br /> /8"HORN - �/4"HORN - ❑ ]„HORN - <br /> � "WATER METER L HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED) <br /> l. METER FEE: $ � �y' J � <br /> 2. HORN FEE $ �� ' y� <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: �� C �� �L.,� `�� sia <br /> 53314729 <br /> SIZE: ❑ 5/8" � 3/4" ❑ l" ❑ Other '� <br /> ���� �� �� � � �� ��� ��� � �� <br /> SEWAL#: / � —� �— <br /> ERT HIGH#: III III III III II III II III I I III�� (if applicable) <br /> 1852922293 <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 /> Applican • Date: <br /> � � � � I� <br /> Original: 1-Address File <br /> Make Copies For: 1- Utility Billing Department <br />