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s `, <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 /> ❑ "WATER METER (THESE WILL HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED) <br /> 1. METERFEE: $ ��P g'� S <br /> 2. HORN FEE $ V� �- � 3 <br /> 3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $ �3 �� � � <br /> CITY-USE ONLY <br /> * For Current Pricing Refer to Cunent Year- Water Meter Pricing Chart * <br /> B�ND: ��.� -{-t�V1 � <br /> SIZE: �5/8" ❑3/4" ❑ 1" ❑Other " <br /> SERIAL#: o �p v S S 5 �- � <br /> ERT HIGH#: III III II'I82I�I8I3IIGI4I91IIII II (�f 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• �;—.�_�e���%'C.l�z� Date: �o -- l'3 �0 7�' <br /> � <br /> Reset Form <br /> Original: 1-Address Fi[e <br /> Make Copies For: 1- Utiliry Billing Department 1-Cash Drawer <br />