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` <br /> . .�, �� � � - <br /> . , � . : �, : _ � , <br /> 1� h r� <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) $ � G � '�� <br /> CITY-USE ONLY <br /> * For Current Pricing Refer to Current Year- Water Meter Pricing Chart * <br /> BRAND: �.Q�� rV�..V1� <br /> SIZE: �/8" ❑ 3/4" ❑ 1" ❑ Other " <br /> SERIAL#: ! �� ` / � � O <br /> ERT HIGH#: III III I'1811�II81�I�11�1131IIIII (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 /> Applicant: � � Date: 7 Z '—J 7 -r7'� <br /> Original: 1-Address File <br /> Make Copies For: 1- Utility Billing Department 1-Cash Drawer <br />