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WATER METER PERMIT FEES <br /> WILL BE CAULULATED BY CITY STAFF <br /> ❑ 5/8" METER- ❑ 3/4" METER- � 1"METER- <br /> � 5/8"HORN - ❑ 3/4" HORN - 1"HORN - <br /> � "WATER METER (THESE WII,L HAVE TO BE SPECIAL ORDERED&PRICF,S DF.TERMINED) <br /> 1. METER FEE: $�� � (07 <br /> 2. HORN FEE $ �U �� 7`� <br /> 3. TOTAL PERMIT FEE(Add Lines 1-2 Above) � 7 / �- �v� <br /> CITY-USE ONLY <br /> * For Current Pricing Refer to Current Year - Water Meter Pricing Chart * <br /> BRAND: _��j�l G��� <br /> SIZE: ❑ 5/8" ❑ 3/4" `�}" ❑Other " <br /> SERIAL#: ,��� �1�',:�j� � <br /> ERT HIGH#: IIIIIIIIIIIIIIIIIIIIIIIIIIIII (if applicable) <br /> 1820457080 — <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, cfn�l certifies that all statements made on this application are, true and correct. <br /> � <br /> _ _— <br /> Applica : ��� S�- �V��� Date: � "�f1 '��"1 <br /> i <br /> Reset �orm <br /> ' <br /> Original: 1-Address File <br /> Make Copies For: 1- Utility Billing Department 1-Cash Drawer <br />