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& <br /> 57,�-'': �� � � �' �, t,`4 � T� � ��.. e <br /> i'uY Zs' 1 e+ <br /> -C Y" ,111 <br /> ❑ 5/8"METER- ❑ 3/4"METER- 13/1"METER- <br /> ❑ 5/8"HORN - ❑ 3/4"HORN - 12'1"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) $ 7511n'70 <br /> CIT t-USE:0 Y r. <br /> * For Current Pricing Refer to Current Year- Water Meter Pricing Chart * <br /> BRAND: ED2F11RDG3RE <br /> SIZE: [115/8" ❑ 3'4- El I" ❑Other 53858366 <br /> SERIAL#: 1111111101111111111111111111111111111 <br /> 1111111111111 III IIII111II II <br /> ERT HIGH#: 1544456124 (if applicable) <br /> -- ..... r..,.,.tea r_,a.�._.a«.. ... .. :.....I;i..... ._----..._. ..-.,_.,.._. .x.. ...._ .. ..§; x.zF,.., h��`-��r_.,... <br /> ll <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 /> Applican v)(,t, f Qiju,L Date: 10- 10. 1011 <br /> tf <br /> tatift <br /> K <br /> Original: 1-Address File <br /> Make Copies For: 1-Utility Billing Department I-Cash Drawer <br />