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12/22/2014 07: 48 7632592299 SCHULTIES PLUMBING PAGE 03/03 <br /> ti <br /> , im,.� W�" :y,IX�A 1 �t�' '` NV'.,t;fi�c��'�S.r�Y`y'4����'���.""47'� i! o �i i nnr � ,. i <br /> } t 5 � <br /> t I .rWr� ro �^�,6�i��n i� ,.�� . i � W� ,, � �p�„ � <br /> A�� ��� �� � �'�� ��� �7�L B���4�T J�, 'T��'b�^�'��"^�'S�''r�`z"�C.�"�' ',�M � <br /> .� , � <br /> � 5!S"METER- ❑ 3/4"NfETER- ❑ 1"METER- <br /> � 5/�"HpRN � ❑ 3/4"HORN - ❑ 1"HQRN - <br /> ❑ "WA'1'�+',�,j��r�rR (THEBE WILL FIAV�TO RF.SPECfAL ORDCR�p Bc PRI[:ES D�TERMIN�,A) <br /> 1. MET�R�EE: g _ <br /> 2. HQRN FEE � <br /> 3. TdTAL PERMiT FEE(Add Lines 1�2 Ahove) $ <br /> cz�rx-Us�or�r�� <br /> * k'or Current P��cing Refer tio Currettt Year- Water 1VTeter Pricing Cha.rt* <br /> I <br /> , <br /> , ,, -� . <br /> B�N�: �������-n-�---_ � -� c c �--�--- <br /> Si7E: �5/8" ❑3!4`° ❑ 1" ❑Otller "' <br /> �� �SERiAL�#: �--G�� ��� �� � <br /> �RT�GH�+: III III III III I III III III III II II (;f app]icable} <br /> 1852386214 <br /> ,A1�,�TT1{�NAL Tl'�FORMATIOIV—WAT�R M�"��RS <br /> The�mdersigned 13ereby applies to the City of Orono 'Tor issuance of a water meter permit, agrees <br /> to do all work in strict accordance with the ordinances of tbe City and the regtilations of the State <br /> of Nlinnesota, and certif es that all statements tnade on this applic�,tiott aXe, true and corrcct. <br /> /- /`o� � ��C <br /> Appficant: Datc: <br /> Oragi�aal, 1-,4dclress F�le <br /> Make Coples Ior; .f- Urilir��8i�ling Departmenr 1-Cash l�rawer <br />