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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 - ❑ 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) $ d � ` �/ <br /> CITY-USE ONLY <br /> * For Current Pricing Refer to Current Year- Water Meter Pricing Chart * <br /> BRAND: 1 v� � v�� � <br /> SIZE: �,5/8" ❑3/4" ❑ 1" ❑Other " <br /> SERIAL#: <br /> � 9`�a �' lP3 5 7 <br /> ERT HIGH#: III III IIII I IIII II III I II II IIII <br /> 1850445045 (if applicable) <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 /> Applic � Date: � ij ��� <br /> Original: 1-Address File <br /> Make Copies For: 1- Utiliry Billing Department 1-Cash Drawer <br />