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�1k�* d-i y �"4 uu <br /> 'C r a' <br /> ❑ 5/8"METER- ❑ 3/4"METER- ❑ 1"METER- <br /> ❑ 5/8"HORN - ❑ 3/4"HORN - ❑ 1"HORN - <br /> l/2 "WATER METER (THESE WILL HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED) <br /> 1. METER FEE: I/d 1 (1 ./3) <br /> $ <br /> 2. t.FEED VO1e <br /> 3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $ 31 5 <br /> f iIz Irria1-i i (\ne1 r <br /> CITY-USE ONLY <br /> * For Current Pricing Refer to Current Year-Water Meter Pricing Chart * <br /> BRAND: Vl e— <br /> SIZE: ❑5/8" ❑3/4" ❑ 1" ❑Other <br /> SERIAL#: /0 P) 5 <br /> ERT HIGH#: IIIIIIIIIIIIIIIIIIIIIIIIIIIII (if applicable) <br /> 1831755073 <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 acc . ' e with the ordinances of the City and the regulations of the State <br /> of Minnesota, and ert <br /> sif t►.'t a sta = ents made on this application are,true and correct. <br /> Applica Date: q ?� ( <br /> ytir� .r <br /> Original: 1-Address File <br /> Make Copies For: 1- Utility Billing Department 1-Cash Drawer <br />