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.. w <br /> WA1'ER METER PERMIT FEES <br /> WILL BE CAULUL�TED BY CITY STAFF <br /> ❑ 5/8"METER- "METER- ❑ 1"METER- <br /> ❑ 5/8"HORN - 4" HORN - ❑ 1"HORN - <br /> ❑ "WATER METE (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) $ <br /> CITY-USE ONLY <br /> * For Current Pricing Refer to Current Year - Water Meter Pricing Chart * <br /> BRAND: ����� � <br /> SIZE: ❑ 5/8" �3/4" ❑ 1" ❑ Other " <br /> SERIAL#: .5 �! J S�� � <br /> ERT HIGH #: IIIIII II IIII IIIII IIIII II IIIII (if applicable) <br /> 1831448112 <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 /> Applica . /� C/ Date: �'—a,r / � <br /> Original: 1-Address File <br /> Make Copies For: 1- Utiliry Billing Department <br />