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� <br /> WATER METER PERMIT FEES <br /> WILL BE CAULULATED BY CITY STAFF <br /> ❑ 5/8"METER- 3/4"METER- ❑ 1"METER- <br /> ❑ 5/8"HORN - 3/4"HORN - ❑ l„HORN - <br /> � "WATER METER (THESE WILL HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED) <br /> l. 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 /> ���''�--�-/�-^--� 3/4 <br /> B�ND: 53314730 <br /> SIZE: ❑ 5/8" [�] 3/4" ❑ 1" ❑ Other IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> III <br /> SERIAL#: <br /> III III III III I III III III I I IIIII <br /> ERT HIGH#: 1852$$$223 (if applicable) <br /> ADDITIONAL 1NFORMATION—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 /> ;-�' _--` )�f <br /> Applican� ' l� Date: � ���/7 <br /> Original: I-Address File <br /> Make Copies For.• 1- Utiliry Billing Department <br />