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, v i <br /> WATER METER P + y T FEES a a, a <br /> WILL BE'!CAULULATED BY CITY STAFF. ,. ; '; <br /> ❑ 5/8"METER- ❑ 3/4"METER- ❑ 1"METER- <br /> 0 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) $ (IU 1 ` 7 <br /> CITY-USE ONLY <br /> * For Current Pricing Refer to Current Year - Water Meter Pricing Chart * <br /> BRAND: <br /> SIZE: k110/8" ❑ 3/4" ❑ 1" ❑ Other " <br /> SERIAL#: <br /> ERT HIGH#: (if applicable) <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 /> --111 Applicant: -— Date: c--1- z------ l3 <br /> Original: 1-Address File <br /> Make Copies For: I- Utility Billing Department 1-Cash Drawer <br />