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r • � <br /> VVATER IVIETER PERMIT FEES <br /> WILL BE C1AliLULATED 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: $ <br /> 2. HORI`T FEE $ � <br /> 3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $ <br /> CITY-USE ONLY <br /> * For Current Pricing Refer to Current Year- Vl�'ater Meter Pricing Chart * <br /> BRAND: <br /> SIZE: ❑ 5/8" ❑ 3/4" ❑ 1" ❑Other " <br /> SERIAL#: <br /> ERT HIGH#: (if applicable) <br /> ADDITIONAL 1NFORMATION—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 /> r- <br /> pplicant: Date: �lJ r � �/ � <br /> ` Reset Form <br /> . <br /> � L�-�X <br /> ���� � � <br /> I ^�� _ � . <br /> V' S <br /> Orzginal: 1-Address File <br /> Make Copies For-: 1- Utility Billing Department 1- Cash D��awer <br />