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, 02/2�12018 69:27 7632592299 SCHULTIES PLUMBING PAGE 65/65 <br /> 5/8"METER- ❑ 3/4"M�TER� ❑ 1,�METER.- <br /> 5/8"HORN - 0 3/4"HORN - <br /> ❑ 1'°F#ORN - <br /> ❑ "WA'I'ER METER ('IT#ES�Vy�i.l.AAVE TO BE SPE('fAL ORDR.REb&PR1C�S D�'�'��M1NF:D} <br /> ��/ 53 9 5�/o <br /> 1. METER FEE: � $ <br /> 2. HORN F�k� '��,S7 ��p� �U $ <br /> 3. TOTAL PERMiT�E(Add i incs 1-2.Above) � ���i �� <br /> C�'=USE+ONLY: <br /> '� F'or Current Pricing.Refer to Current Year-Water Meter Pricing Chart * <br /> BR/�11N.p: <br /> s�: ❑sis°� ❑3i�°� ❑ r� ❑ot�,� �� � <br /> wiiu�uwiuuwi�iui <br /> Sf:RIAL#: 7 5453958 7 0 <br /> � uiuu�uuuunmiwi�u <br /> �RTHIGH#: (ifapplecable) �545395870 <br /> ;,,�;� .:,,;;,:,:,�,, .,,�.,,. ,;� <br /> ,. ,,;;'�� �.��C��;�iu''�"��i4i'�'�!3"�!�/�'�'�:i�, ; ��,.i:;<:„i,,;;;ii�i�;ie;�;n; <br /> �i ;'.:":. �„�;. ,,,. <br /> The undezsigned hereby applies to thc City of Orona for issuance of a water meter permit, agrces <br /> to do all work itt strict accordance with the ordinances oF tlae City a�td the rcgulations of the S�ate <br /> of Minnes�ta,and certifies that all statements m.ade on this appliear.i.on are,true and eorrect. <br /> Applica -� Date: v� � �/�� <br /> ��� � <br /> Qrip,rnal: 1-Add�ss File <br /> Make C.:'opres For.� !-lJ1i/ity Bllli�g.1Jepurtmerel <br />