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W . ` <br /> WATER METER PERMIT FEES <br /> WILL BE CAULULATED BY CITY ST�FF <br /> /8"METER- ❑ 3/4"METER- � 1"METER- <br /> 5/8"HORN - ❑ 3/4"HORN - ❑ 1"HORN - <br /> ❑ "WATER METER (THESE W[LL HAVE TO BE SPECIAL ORDERED&PR[CES DETERMINED) <br /> l. METER FEE: $ p �g� (� <br /> 2. HORN FEE $ �O � <br /> 3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $ �L�� <br /> CITY-USE ONLY <br /> * For Current Pricing Refer to Current Year- Water Meter Pricing Chart * <br /> BRAND: I Y � �'� <br /> SIZE: �5/8" ❑ 3/4" ❑ 1" ❑Other " <br /> SERIAL#: � (�� �j j �� <br /> ERT HIGH#: IIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> 1820824903 (if applicable) <br /> ADDITIONAL 1NFORMATION—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 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: <br /> Reset Form <br /> Original: 1-Address File <br /> Make Copies For: 1- Utility Billing Department 1-Cash Drawer <br />