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�. <br /> '� w <br /> ,, <br /> � � <br /> ❑ 5/8"METER- 3/4"METER- ❑ 1"METER- <br /> ❑ 5/8"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) $ b'��7 z `� <br /> CITY-USE ONLY <br /> * For Current Pricing Refer to Current Year- Water Meter Pricing Chart * <br /> B�,ND: ....e�J�-u�-- <br /> ---r <br /> SIZE: ❑ 5/8" �]3/4" ❑ 1" ❑Other " <br /> SERIAL#: � � � �� �V <br /> ERT HIGH#: _ NI III III III I III II I llll II IIII (if applicable) <br /> 1832388305 <br /> AI�Ll�TICttt�'��N'F171�MATI4N—WATER IU�ETERS <br /> The undersigned hereby applies to the City of Orono for issuance of a water meter permit, agees <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 /> Applicant: �f��.2r� `�� Date: 2��-S r- �> <br /> Original: 1-Address File <br /> Make Copies For: 1- Utility Billing Department <br />