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y �' q r�°�� , �` � <br /> �'� Y- �,. �l "k � <br /> Yf y . z.�ry <br /> 1�,� {s, Xfi��? <br /> JX� � <br /> €� 9K ,r,�` .,4� :ssjq, <br /> 5/8"METER- ❑ 3/4"METER- ❑ 1"METER- <br /> „HORN - ❑ 3/4"HORN - ❑ 1„HORN - � <br /> � <br /> ❑ "WATER METER (THESE WILL HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED) <br /> 1. METER FEE: $ � ` � ��� <br /> 2. HORN FEE $ oV� � <br /> 3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $ <br /> 3a3 � °� <br /> CITY-USE ONLY <br /> * For Current Pricing Refer to Current Year- Water Meter Pricing Chart * <br /> BRAND: <br /> l�,it x 3la <br /> SIZE: 5/8" ❑3/4" ❑ 1" ❑Other " 672 346 <br /> SERIAL#: <br /> IIII�� ��� <br /> ERT HIGH#: (if applicable) �������q�llll <br /> 1852387910 <br /> AD�3ITI�I�AL iNFOi�1�iATION—�VA'TET�.'A�EE1 EII�.S <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 /> Applicant• Date: ���� 3 "�� <br /> Original: 1-Address File ,/ /��� j_ �� <br /> Y �� <br /> Make Copies For: 1- Utiliry Billing Department �/ � <br />