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. 02/27/2618 09:27 7632592299 SCHULTIES PLUMBING PAGE 03/05
<br /> �I 5/8"ME'�ER.- f] 3/4"M ETER- ❑ ]"METER-
<br /> �.5/8"(-fO.RN - ❑ 3/4"HORN - ❑ 1"NORN -
<br /> ❑ "WAT��t METER (THFSE Wll.i.FIp,VE TU BE Sl'FCfp],ORAERTyp�p(u�,9 DF,T�R�y)7�D)
<br /> 1. METER FEE: �
<br /> 2. HORN FEE �
<br /> 3. TOTAL!'ERMIT FEE(Add f.ines 1-2 Above) $ 3�3 5� D�
<br /> CIT1r�CFSE O1�TL'St`
<br /> * For Current�'ricing Refer to Cu�rent Year- Water Meter Pricing Chart*
<br /> $R�w�� ED2B11 RDG3 �
<br /> 5/S"x 3/4"
<br /> s1zE: ❑s�s°° ❑s�4� ❑ )" p other '^ 36789309
<br /> S�RIAL#: — 1647961�424 ,,,� I IIIIII IIIII IIIII IIIII IIIII IIIII�IIII IIIII IIIIIIII
<br /> ERT H1GH#: �, IIINIWNINININAWN� (�f applicable)
<br /> 1547961424
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<br /> The undetsi.gned hereby applics to the Gity of Orono for issuance of a.water meter permi.t,agr�es
<br /> to do a11 wprk in strict accocdanee with the ordina.nces of the Ciry and the regula#ions of the St�te
<br /> of Minnesota,and certifies that all statcments made on this application are,true and corrcet
<br /> Applicant• Date: ����
<br /> Uriginal.� !-.4ddress File
<br /> Make Capies For.� !- C.Irilt�y 8llling,l�epartment
<br />
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