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06/05/15 12 : 03PM CDT Spring Plumbing LLC -> 9522494616 Pg 3 <br /> /3 <br /> WA`T�R Ivi�TER PERMIT FEES <br /> 'WT[,�,�3E GA,TJLULATEJa BY GITY STAFF <br /> ❑ 5/8°�MEr�r�- ❑ 3ia°�ME�rFR- ��ME�R- <br /> 0 5/8"HORN - [� 3/4"HO1iN' - ,��1.,NORN - <br /> � "W,F#T���'�`F.� CX'HES6 WII.L HAVE TO HE SPECIAL ORD6RED 8t PEi1C�$DB'fBRMIN�p) <br /> ' �� . L � <br /> 1. METER FEE: � <br /> 2. HORN FEE � � . / � <br /> 3. '�OTAL PERMI'T FEE(Add Lines 1-2 Above) S /� � , �'' <br /> �' <br /> CITY-USE ONLY <br /> '� For Current�'niciing Re�er to Cu�rent Year-Water Meter Pricing Chart * <br /> B�' 53354889 <br /> SIZE; �S/B" �3/4" �1" ❑Other,,,�" II I I II I II I I I II I I I I I II <br /> SERlAL#; -`-� <br /> y ►II III III III I III II III II I IIIII <br /> ERT HIGH#; ,�, 1852988823 (if�pplieable) <br /> ADDITIONAL IN�'OILMATTON—WATE�t ME'T'�RS <br /> The r,uadersigned hereby applies to the City of Orono for issuance of a water meter permit,agrees <br /> to do all work in striet accordance with t�e oxda�nan.ces o�t�e City a�.d t�e reguaations of the State <br /> of IVlinnesota,and certifies that all statements made on this application are,true and correct, <br /> A�,����t: 1�--��� ns�; (� ( S� (� S� <br /> .__ ___� __ _ . <br /> Original.� 1-Addr 1�'iJe ' �r . � � �� <br /> Make C'opies F'or 1-Urrlity Brlling Ue�xrrtment �'; L. � <br /> ,� Crl l� � <br /> ...._.-. �oa-���t � � <br />