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■ <br /> f <br /> 1 <br /> WATER METER PERMIT FEES <br /> WILL BE CAULULATED BY CITY STAFF <br /> D 5/8"METER- ❑ 3/4"METER- S�II '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: $ s � <br /> 2. HORN FEE $ 4• 1/.5 <br /> 3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $ ufAirA <br /> If97, 37 <br /> CITY-USE ONLY <br /> * For Current Pricing Refer to Current Year- Water Meter Pricing Chart * <br /> BRAND: 11111111111111111111111111111 /`ki �. <br /> 1820458145 <br /> SIZE: ❑5/8" ❑ 3/4" 1" ❑Ot er " <br /> SERIAL#: GI 51 90v6 ( O <br /> ERT HIGH#: I U 3O (if applicable) <br /> ADDITIONAL INFORMATION—WATER METERS <br /> • <br /> • <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 /> I <br /> Applicant: `� 'ief;7-e".V7 <br /> Date: t-//7/ ( <br /> Reset Form <br /> Original: I-Address File <br /> Make Copies For: I- Utility Billing Department 1-Cash Drawer <br />