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� <br /> . <br /> � � �WATER METER PERMIT�EES �� <br /> WILL BE CAUI,ULAfCED BY CITY ST4FF <br /> ❑ 5/8"METER- 3/4"METER- � l"METER- <br /> � 5/8"HORN - 3/4"HORN - � 1"HORN - <br /> � "WATER METER (THESE WILL AAVE TO BE SPECIAL ORDERED S PRICES DETERMINED) <br /> 1. METER FEE: $ <br /> 2. HORN FEE $ <br /> 3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $ � � ' 3 � <br /> CITY-USE ONLY <br /> * For Current Pricing Refer to Current Year- Water Meter Pricing Chart * <br /> BRAND: ���D/ (t�/�—t' � <br /> SIZE: ❑ 5/8" �-3/4" ❑ 1" ❑Other " <br /> ����������������������������� ;' <br /> SERIAL#: 1831518452 <br /> � <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 stat ents made on this application are,true and correct. <br /> � / � <br /> Applicant: � - �\ Date: (j '���� � <br /> Reset Form <br /> Original: 1-Address File <br /> Make Copies For: 1- Utiliry Billing Department 1-Cash Drawer <br />