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� r <br /> �� � WATER METER PERMIT FEES � � � <br /> WILL BE CAULULATED BY CITY STAFF <br /> , <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: $ �C�� O � <br /> 2. HORN FEE $ <br /> 3. TOTAL PERMIT FEE (Add Lines 1-2 Above) $ O�.�Q �.� � <br /> CITY-USE ONLY <br /> * For Current Pricing Refer to Current Year- Water Meter Pricing Chart * <br /> BRAND: / v-�jJ ��/G�� <br /> SIZE: �] 5/8" ❑ 314" ❑ 1" ❑ Other " <br /> SERIAL#: � ���D��7� <br /> ERT HIGH#: ����������������������������� (if applicable) <br /> 1830279097 <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 ardinances 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 /> i �' <br /> ; <br /> . ,;,_ / <br /> Applicant: � � �� �' Date•l-�� �f; �l� j� <br /> Original: 1-Address File <br /> Make Copies For: 1- Utiliry Billing Department 1- Cash Drawer <br />