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so-�4 x�k p '; .� ; st�w�� �,�,.�J�� ., � . <br /> ���yy' J . � ',�,x W,. ,, t�'�'' . <br /> �.�`r�%�Y '.i'S��r'yis�y{� �,t�� y f ��� y��t 3:. �� y y,�,. �wt�`L: <br /> "y. '�k�fs�.r n+k h -Y" � <br /> ❑ 5/8"METER- ❑ 3/4"METER- � 1"MET'ER- <br /> ❑ 5/8"HORN - ❑ 3/4"HORN - 1"HORN - <br /> � "WATER METER (THESE WII.L HAVE 7'O BE SPECIAL ORDERED&PRICES DETERMIlNED) <br /> 1. METER FEE: $ <br /> 2. HORN FEE $ <br /> 3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $ <br /> CITY-USE ONLY <br /> * For Current Pricing Refer to Current Year-Water Meter Pricing Chart* <br /> ED2F11 RDG3 �c <br /> BRAND: i.. t�d <br /> „ 54008426 IIIIIIIII <br /> SIZE: ❑5/8" ❑3/4" ❑ 1" ❑Other IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> SERIAL#: <br /> iii iuni uniu n ii un ui ii <br /> ERT HIGH#: (if applicable) 1546108562 <br /> iuii�uuwuinNnmm� <br /> 7546108562 <br /> AD�iT��d,AL iNFO'I�A'T'It�'N—R�ATEA I�E'TEI+�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 /> Applicant: Date: l2-�//7 <br /> Original: 1-Address File <br /> Make Copies For: 1- Utility Billing Department <br />