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A � } � <br /> ♦ � <br /> WATER METER��PEkMIT F��S� ��� <br /> WILL B�; CAU'I,I�LATEi�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 BF,SPECIAL ORDERED&PRICES DETERMINED) <br /> 1. METER FEE: $ �� �� �� <br /> 2. HORN FEE $ p�• O � <br /> 3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $ -3"2LI a �,r 7 <br /> CITY-USE ONLY <br /> * For Current Pricing Refer to Current Year- Water Meter Pricing Chart * <br /> BRAND: I�LF.���� � sis X�a <br /> 68506704 <br /> SIZE: �/8" ❑3/4"` ❑ 1" ❑Other I�III tIIII IIIII tl I II I IIIII II��I II I I t II <br /> SERIAL#: ��-�D�P �G <br /> ERT HIGH#: ��5�j(�O �l 7�`f� (if applicable) <br /> III II IIIII I III II II III IIII II11 <br /> 1540097894 <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 wark in strict accordance with the ordinances of the City and the regulations of the State <br /> of Minnesota, and certifies tl� ll statements made on this application are,true and correct. <br /> � <br /> � ,• <br /> Applicant: Date: � � <br /> Original: 1-Address File <br /> Make Copies For.• 1- Utility Billing Department <br />