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a <br /> , <br /> 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 - ❑ ]" HORN - <br /> ❑ " WATER METER (THESE WILL HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED) <br /> 1. METER FEE: $ a��, �� <br /> 2. HORN FEE $ �Q � � � <br /> 3. TOTAL PERMIT FEE (Add Lines 1-2 Above) $ �/ 7• �O � <br /> CITY-USE ONLY <br /> * For Current Pricing Refer to Current Year - Water Meter Pricing Chart * <br /> BRAND: � �J��(,j�`F� <br /> SIZE: [�5/8" ❑ 3/4" ❑ 1" ❑ Other " <br /> SERIAL#; � `'`�v g � � � �J <br /> ERT HIGH#: III IIIIIII I IIII IIIII III I IIIII (if a 1►cable <br /> 1850440403 pp � <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 /> ' l �� <br /> Applicant: � � Date: � ���� � <br /> Original: 1-Address File <br /> Make Copies For: 1- Utiliry Billing Department 1-Cash Drawer <br />