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. , � <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: N�T(�c!� � <br /> SIZE: ❑ 5/8" ❑3/4" " ❑Other " <br /> SERIAL#: Y-���5` O �� <br /> III III IIII I II II AI I Ilul I Illi <br /> ERT HIGH#: i 1g10050�6 (if applicable) <br /> � <br /> AD�?TTIt�N�I,�NF��;�VIATIQl�T=V�ATER METE�tS <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 /> � 2, Ic � � o �l <br /> Applicant: .. �a�^- Date: <br /> Original: 1-Address File <br /> Make Copies For: 1- Utility Billing Department 1- Cash Drawer <br />