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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 /> � "�VATER 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 ]-2 Above) $ <br /> CITY-USE ONLY <br /> * For Current Pricing Refer to Current Year- Water Meter Pricing Chart * <br /> Bu�ND: / " 'e,� �[��I -�_ <br /> SIZE: ❑ 5/8" � 3/4" ❑ 1" ❑Other " <br /> SERIAL#: �a l.�55 7�7� <br /> ERT HIGH#: ����������������������������� (if applicable) <br /> 1831447977 <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 er fies that all statements made on this application are,true and correct. <br /> Applicant: Date: g / <br /> Reset Form <br /> O�•iginal: 1-Address File <br /> Make Copies For: 1- Utiliry Billing Depa��tment 1-Cash Drawer <br />