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� �� ._ . <br /> y �v� . <br /> U <br /> WA"I'ER METER PERMIT FEES <br /> W1I,L BE CAULULATED BY CITY STAFF <br /> ❑ 5/8" I1�E�-=-� ❑ 3/4"METER- ❑ 1" METER- <br /> ( `�5/8" HORN __ _ ❑ 3/4"HORN - ❑ 1"HORN - <br /> � _�— <br /> ❑ " WATER METER (THESE WILL HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED) <br /> 1. METER FEE: $ <br /> 2. HORN FEE $ �G ' `" <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#: <br /> ERT HIGH#: (if applicable) <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 1 w in strict ac dance with t e ordinances of the City and the regulations of the State <br /> of Min esota, d certifi s that all state ents made on this application are,true and correct. <br /> ,. <br /> Applican •" Date: 5��/ !�+ <br /> Original: 1-Address File <br /> Make Copies For: 1- Utility Billing Department <br />