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� . <br /> � <br /> ,� <br /> � VVATER METER PERMIT FEES � <br /> • WILL BF, CAULULATED BY CI I'Y STAFF <br /> ❑ 5/8"METER- 3/4"METER- � 1"METER- <br /> ❑ 5/8"HORN - �3/4"HORN - � 1"HORN - <br /> ❑ "WATER METER (THESE WILL HAVE TO BE SPEC[AL ORDERED&PRICES DETERMINED) <br /> 1. METER FEE: $ `J�� � �U <br /> 2. HORN FEE $ C�J� . � <br /> 3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $ �� � - �� <br /> CITY-USE ONLY <br /> * For Current Pricing Refer to Current Year- Water Meter Pricing Chart * <br /> BRAND: 7��.J� �.)f"i.,� �'l� <br /> � <br /> SIZE: ❑ 5/8" �]3/4" ❑ 1" ❑Other " <br /> �7 , <br /> SERIAL#: � � �� L--/ I �j <br /> ERT HIGH#: ����������������������������I (if applicable) <br /> 1810193230 <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 /> _ / � f <br /> i <br /> L _. .... . .. - ;;'� ' . / ,'" ;` /1 <br /> Applicant: — Date: � ;%� <br /> � <br /> � Reset Form <br /> � <br /> Orzginal: 1-Address File <br /> Make Copies For: 1- Uti[iry Billing Department 1-Cash Drawer <br />