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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"�IORN - <br /> v vw <br /> ❑ "WATER ME ER (THESE WILL HAVE TO BF SPECIAL ORI)ERED&PRICES DETERM[NED) <br /> i. METER FEE: $ <br /> 2. HORN FEE $ <br /> 3. TOTAL PERMIT FEE (Add Lines i-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 /> � ��` <br /> SERIAL#: ��(l� ����'f �7 �� <br /> ERT HIGH#: � ���� a ��J� (if applic ble) <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 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 /> Applicant: Date: <br /> Original: 1-Adclress File <br /> Make Copies For: 1- Utility Billing Department 1- Cash Drawer <br />