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. � <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 - ❑ 1"HORN - <br /> ❑ "WATER METER (THESE WILL HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED) <br /> 1. METER FEE: $ ��o� U� <br /> 2. HORN FEE $ ��(� ,�'� <br /> 3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $ 3 � L�"� �� <br /> CITY-USE ONLY <br /> * For Current Pricing Refer to Current Year- Water Meter Pricing Chart * <br /> BRAND: �-�IJt(� l�J�_ <br /> SIZE: (�-5/8" ❑ 3/4" ❑ 1" ❑ Other " <br /> � S 7 �� <br /> SERIAL#: � � �� <br /> ERT HIGH#: � �� U �j �� � �[� � (if applicable) <br /> ADDITIONAL 1NFORMATION—WATER METERS <br /> The undersigned hereby applies to the City of Orono far issuance of a water meter permit, agrees <br /> to do all wark 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 /> �� <br /> � <br /> Applicant: � �� Date: � �� % <br /> ��� hI�� Gt/:,¢ j /3rovyh% ��s t.., r �� <br /> ���--- ���y ��/y <br /> `� ,��� � ��P�,y� ��-� � �s's�`'/�s��a <br /> sc ��� <br /> Original: 1-Adclress File <br /> Make Copies For.• 1- Utility Billing Department 1- Cash Drawer <br />