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r � <br /> 'p ' �-1� �v��f' � �'� '�� � ��� � <br /> ����-�;w��'�.� '�Y,: � �. �3 F.,,..�x�.�,�����?-r,��� � ��� ������y�-�����`"�y����`y��'���'� � �k ; <br /> . � , F . <br /> � ,,;,� ;,,..�. <� .��W,TLL�`�E t;�`iZ1L�LAT�I�$YB�I'��x��'�tS►F�� ��� ����, �y. �� >� :� <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) $ <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 /> ADDITIONAL INFORMATION—WATER TERS <br /> The undersigned hereby applies to the City of Orono for issuance of a ter meter permit, agrees <br /> to do all work in strict accordance with the ordinances of the City and th regulations of the State <br /> of Minnesota,and certifies that all statements made on this application ar ,true and correct. <br /> Applicant: Date: �c.Q- lo-C_--Qo.D <br /> � , ���� _ <br /> - � � <br /> ? �� Reset Form� ' c - Z 3-t l <br /> -. 4�.�.,Aki-n,s:�.�_b n�Lr..,� .. <br /> � � � � �� L � 2 �� ��� �������18���,���������������� <br /> 3 383827 <br /> �t.de� 21c� �, �Zc�� � s� <br /> � <br /> Original: 1-Address File <br /> Make Copies For: 1- Utility Billing Deparhnent 1-Cash Drawer <br />