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; <br /> . r '. <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: $ ��� U <br /> 2. HORN FEE $ <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: _�(7.,Q��� <br /> SIZE: �5/8" ❑ 3/4" ❑ 1" ❑ Other " <br /> SERIAL#: ���'�-`�_.�� �J� <br /> ERT HIGH#: II�III II�I I��I I�I I����������I if a licable <br /> 182Q826628 �� PP ) <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 certifie�-�f�at all statements made on this application are, true and correct. <br /> ,' <br /> � �;. <br /> Applicant: ��`�1 <br /> ; .�`" �" Date: J�Z�U � <br /> �, _. <br /> / �r <br /> ` �. <br /> Original: 1-Address File <br /> Make Copies For: 1- Utiliry Billing Department 1- Cash D�-awer <br />