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. y <br /> � WATER METER PERMIT FEES <br /> WILL BE CAULULATED BY CITY STAFF <br /> ❑ �/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 O 1u �� $ �Q cU, CC.�� <br /> � <br /> 3. TOTAL PERMIT FEE(Add Lines 1-2 A ove) $ " <br /> CITY-USE ONLY <br /> * For Current Pricing Refer to Current Year- Water Meter Pricing Chart * <br /> BRAND: <br /> sizE: ❑ sis°� ❑ 3i4°° ❑ i�° ❑ other „ <br /> SERIAL#: <br /> ERT HIGH#: (if applicable) <br /> ADDITIONAL INFORMATION—WATER METERS <br /> The undersigned hereby applies to the City of Orono far issuance of a water meter permit, agrees <br /> to do all wark 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 /> , <br /> � <br /> Applicant: �%�'(�-�J �� ' � Date: �� ��� d/ <br /> Original: 1-Adrlress File <br /> Make Copies For: 1- Utiliry Billing Department 1- Cash Drawer <br />