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. . t <br /> y'� 't : y Y�.. <br /> � �� � � <br /> y <br /> . ��;'i' N'" , YA ..-K t '�ev £ p("� � /�: � S' q <br /> pt'' A', � h �, �� = � •� �' �r ,� �'S�.�r�" ��r�is'.. , <br /> °A�%:yy N iv'Y"s ��' R»�' 4r , �� _ ,iY> e.�k�. <br /> �� ��, <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. T PERMIT FEE(Add Lines 1-2 Above) $ � �" �/ <br /> CITY-USE ONLY <br /> * For Current Pricing Refer to Current Year- Water Meter Pricing Chart * <br /> BRAND: <br /> SIZE: ❑ 5/8" ❑3/4" ❑ 1" ❑Other " <br /> SERIAL#: <br /> ERT HIGH#: (if applicable) <br /> ADI)iTIflNAL INFOR1ViATION-WATER I�ETERS <br /> The undersigned hereby applies to the Ci of Orono for issuance of a water meter permit, agrees <br /> to do all work in strict cc rda e with th rdinances of the City and the regulations of the State <br /> of Minnesota, and certi s at a sta e m e on this application are,true and correct. <br /> , � r,a i <br /> Applicant: <br /> Date: � ��/ � <br /> • <br /> Original: 1-Address File <br /> Make Copies For: 1- Utility Billing Department <br />