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"METER- ❑ 3/4"METER- 1"METER- <br /> 5/8"HORN - ❑ 3/4"HORN - ❑ I"HORN - <br /> ❑ 71 <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) $ <br /> CITY-USE ONLY <br /> * For Current Pricing Refer to Current Year-Water Meter Pricing Chart <br /> BRAND: A" `�- <br /> SIZE: -65/8" E13/4" ❑ 1" ❑Other'(' " <br /> SERIAL <br /> ERT HIGH#: _ IIIA j83nllll�115111111 (if applicable) <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 work in strict accordance with the ordinances of the City and the regulations of the State <br /> of Minnesota,and certifies that all statemen ade on this application are,true and correct. <br /> Applicant: Date: 7 Z- <br /> 100, <br /> Original: 1-Address File <br /> Make Copies For: I- Utility Billing Department 1-Cash Drawer <br />