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7 � � <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: $ pZ� p • D5 <br /> 2. HORN FEE $ ��Q. � � <br /> 3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $ 3 3?`' � � <br /> CITY-USE ONLY <br /> * For Current Pricing Refer to Current Year- Water Meter Pricing Chart * <br /> s�ND: /v�A�h � <br /> SIZE: [�5/8" ❑3/4" ❑ 1" ❑Other " <br /> SERIAL#: o �l 0 7� 7 � � <br /> ���N�������������������� (if applicable) <br /> ERT HIGH#: 18���53�6 <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 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 /> Applicant: Date: 1 D a(% Q <br /> Reset Form <br /> Original.• 1-Address File <br /> Make Copies For: 1- Uti[ity Billing Department 1-Cash Drawer <br />