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5/8"METER- ❑ 3/4"METER- ❑ 1"METER- <br /> 5/8"HORN - ❑ 3/4"HORN - ❑ 1"HORN - <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: p-� G /r^ <br /> SIZE: 14 5/8" ❑ 3/4" El I" El Other IRI 0 17 7 � `—7/1c <br /> SERIAL#: { �D� / 7 LID <br /> ERT HIGH#: 1 Ow 41 —7 3 (if applicable) ( v, <br /> III III IN 111 IN 111111111111 <br /> 1850417344 <br /> ADijI I IUNAL 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 statements made on this application are,true and correct. <br /> Applicants, Date: <br /> Original: ]-Address File <br /> Make Copies For: 1- Utility Billing Department 1-Cash Drawer <br />