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W� ,C".LINED BY Cfff <br /> ai. <br /> ❑ 5/8"METER- ❑ 3/4"METER- I"METER- <br /> [:1 5/8"HORN - ❑ 3/4"HORN - 1"HORN - <br /> ❑ "WATER METER (THESE WILL HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED) <br /> 1. METER FEE: $ -ZZ <br /> 2. HORN FEE $ y <br /> 3. TOTAL PERMIT FEE(Add Lines 1-2 Above) s ' 70 <br /> CITY-USE ONLY <br /> * For Current Pricing Refer to Current Year- Water Meter Pricing Chart <br /> �LIJ ED2'11RDG3 LUC <br /> BRAND: _ y <br /> SIZE: E] 5/8" ❑ 3/4" �' <br /> Other 53944764 IIIIIIIIIIIII <br /> I VKIP11I1141411 <br /> SERIAL#: 5J3 9yy 776- _7 <br /> ERT HIGH#: J � J 1707 4Q (if applicable) 151415531�70F <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 statements made on this application are,true and correct. <br /> Applicant: <br /> Date: <br /> Original: 1-Address File <br /> Make Copies For: 1- Utility Billing Department <br />