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09/05 2007 12:97 FA$ 769 591 6071 IVERSON �002
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<br /> 314"M�TER-$291.00 ❑ 1"METER-$356.00
<br /> �5/S"METER-$240,00 ❑ ` 1„HORN -$ 73.12
<br /> 5/8"HORN -$ 44.62 ❑ 3l4 HORN -$ 49.03 ❑
<br /> ' � r w��i j�MET'ER (TH�SE W1LL HAvE TO�E SpECIAL OMETtED g PR�CES bETERMINED)
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<br /> � 1. METER FEE: _ � _ ,./- �a��s
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<br /> 3. �'OTA.L PERNIIT�E(Add Lines 1-2 Above)
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<br /> CYTY-USE ONLY
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<br /> SIZE. �/8" ❑ 3l4" ❑ 1" ❑Otllor "
<br /> sExz�►�,�: l8 �o��8`5zo
<br /> ERT HIG�I#: I��INI I NN II I N INII I 111 (if applicable)
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<br /> , �ADDITIONAL�II�IFORiviATION��-WATE�R METER:S �.
<br /> The undersigned hereby applies Co the Cxry of Orono for issuance of a wa�er meter pernn,it, agrees
<br /> ' ta do all wo:k in strict accordance with tt:e ordinances of the City ar_d ttie regulations of the Stace
<br /> pf Minnesota,and certi that all statements made on this application arc, true and correct.
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<br /> ' Date:
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<br /> I� i;LERK� OS TRA13�� 3�:3'�`
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