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Jul 30 14 10:07a Stewart Plumbing Inc. 763-428-1733 p.2 <br /> � � i�I �1 '1 <br /> WATER METER PERMIT FEES <br /> 'I�VILL BE CAULULATED BY CITY S"TAFF <br /> ❑ 518"iN_ETER- ❑ 3/4"ME`PER- �fEl'ER- <br /> ❑ 5/8"H�RN - ❑ 3/4"HORN - [f l"HORN - <br /> ❑ "VVATER METER (THESE W1LL 1)AVE TO BF;SPEC]AL ORDERED&PRICCS llETERMTN�U) <br /> 1. I�fETLR FEE: � <br /> 2. HORI�T FEE � <br /> 3. TOTAL PERMiT FEE(Add Lines 1-2 Above) g <br /> �— CITY-USE ONLY <br /> * For Current Pricing Refer to Current Year- ��ater Meter Pricing Chart * <br /> BRA.ND: ► `� C�p 1 �/�'�—� <br /> SIZE: ❑5/8" ❑3/4" �1" �Other " <br /> SERIAL#: J Z.(.p �-�-gC��' <br /> ERT HIGH n: ��������������������I�������I (if applicable) <br /> 1834356044 <br /> ADD[T(ONAL 1NFORMATION—V1'ATER METERS <br /> The undersigned hereby applies to the City of Orono far issuance of a water rneter pennit, agrees <br /> to do all work in strict accordance with the ordinances of the City and the regulations of thz State <br /> of Minnesota,and certifies that all statements made on this application are, triie and correct. <br /> � � � �� �, <br /> ; ,� � �; � <br /> 1�., <br /> ,- �. � ,.,� �� � � �I� <br /> � � !i l,- � <br /> Appiicant:_�! \_^��<:� �--���'',�� ✓�L Date: � <br /> Original: 1-Address File <br /> ,'l�lake Copies For: 1- Gtilily Billing Departmenr 1-Cash Drawer <br />