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r, �rt,yA t gg <br /> 018' <br /> TER- ❑ 3/4"METER- ❑ 1"METER- <br /> HORN - ❑ 3/4"HORN - ❑ 1"HORN - <br /> ❑ "WATER METER MIESE WILL HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED) <br /> 1. METER FEE: $ '9S 3-D0 <br /> 2. HORN FEE $ - a'0-P-- <br /> 3. <br /> --3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $ D <br /> CITY-USE ONLY <br /> * For Current Pricing Refer to Current Year- Water Meter Pricing Chart <br /> ED21311 RDG3 <br /> BRAND: W8"x 314" <br /> 36789181 IIIII IIII Ilii <br /> SME; rls- ❑3/4" ❑ 1" ❑other ° IIBIIIIIiIiiIIIIIIIN �IINNI <br /> SERIAL#: <br /> applicable) ininmm�miiiinnum <br /> ERT HIGH#: (if app ) 1548081610 <br /> ADDMNAL ON—WATER MET'EM <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 /> Applicant: Date: <br /> Original: I-Address File <br /> Make Copies For: 1- Utility Billing Department <br />