Laserfiche WebLink
r . y <br /> WATER METER PERMIT �EES <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 i-2 Above) $ <br /> CITY-USE ONLY <br /> * For Current Pricing Refer to Current Year- Water Meter Pricing Chart * <br /> , <br /> 53354891 <br /> B�ND: IIII I II II I I IIIII I I I I II II <br /> SIZE: ❑ 5/8" ❑3/4" 1" ❑ Other " <br /> SERIAL#: <br /> ERT HIGH#: <br /> (if applicable) III IIII1I$I52I99I'II��I$III III <br /> ADDITIONAL iNFOitMATION—WATER METERS <br /> The undersigned hereby applies to the City of Orono far 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: Date: � ����Y <br /> Original: 1-Address File <br /> Make Copies For: 1- Utility Billing Department <br />