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WATER METER PERMIT FEES <br /> WILL BE CAULULATED BY CITY STAFF <br /> g5/8"METER- ❑ 3/4"ME'T'�R- 1":vIE'I'B2t- <br /> SB"HORN - ❑ 3/4"HORN - 1�.HORN - <br /> � "W ATER MET�R (TH6SE W I'LL�IAYE TO B&SPECUL O�i D�RED&PRICES DET&RM'JNED) <br /> 1, METER FE�: � -- <br /> 2, f-�ORN PEE � <br /> 3. TOTAL PR�tNIIT FEE(Add Lincs 1-2 Above) S <br /> CITY-USE 4NLY <br /> * For C�urrent Pricing Refer to Gurrent Year-Water Meter Pricing Chart* <br /> sx.��: <br /> S1ZE: �5l$" ❑3/a" ❑ 1" ❑Othar,_„�" <br /> SERIAL#: <br /> ERT HIGH#: (if applicable) <br /> ADDITiQNAL INFOR1v�AT10N—WATER METERS <br /> � The undersigned hereby applies to the City of Orono for issuance of a water meter permit, agrees <br /> to do a11 work in strict accordance with the ordinances of the City and the regulations of khe State <br /> af Minnesota,and certifies that all statet�ents made on this application are,true and coxrcct. <br /> Applicant: �- � �` ��� Date' � � I1 <br /> OHginal: 1-Address File <br /> Make Co,pies Fiar: 1-UAlity Billing Deparrmenl 1-Cash DrmNer <br /> �/ <br /> E �d 9T9�6�ZZ�6 <— �'I'I �u?qmntd �u�.zdS ,LQ� W`dL� �60 �T/ZZ/60 <br />