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� � 1 <br /> • � <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. METER FEE: $ � [� � � �� <br /> 2. HORN FEE $ % � � � <br /> 3. TOTAL PERMIT FEE(Add Lines l-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 /> sExiaL#: ,� �1 ��? �� �)C_� <br /> III III IIIII II II IIII II III I Illi <br /> ERT HIGH#: 1810052916 (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 wark in strict accordance with the ordinances of the City and the regulations of the State <br /> of Minnesota, and certi s that all state nts made on this applicarion are,true and correct. <br /> ;, <br /> Applicant: \ Date: 1 � �� U � <br /> Reset Form <br /> Original.• 1-Address File <br /> Make Copies For: 1- Utility Billing Department 1-Cash Drawer <br />