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Feb 03 2015 02:13PM HP FaxScherer Plumbing 9524476735 page 5 <br /> . <br /> , <br /> �-; � �-�—,-- r�y, <br /> '4 � �'i�f sY� Y' r t ^'�'Y�il�,���y ����.�'i+�d���L���� ��� <br /> � �, y� {� ;i �,r �.a��"� ', 9 <br /> '� s �„o�a ;.�k".��.�JG,-,��-���,��. ��`����� ��{�����,c� i t r , � �� � '� ;}F }�' <br /> '�' <br /> ❑ Sl8"METER- ' 3l4"METER- <br /> ❑ 5/S"HORN - �3(4"HORN . ❑ 1"METER= <br /> ❑ 1"HORh <br /> ❑ "WATER METER (THESE�vILL FI,4VE TO BE SPECIAL ORDERED&PRICES pETERMINED) <br /> 1. METER FEE: $ <br /> 2. HORN FEE � <br /> 3. TOTAL PERMIT FEE(Add Lines l-2 Above) S_ -'�j� f <br /> �� <br /> CITY-USE ONLY <br /> * For Current Pricing Refe �to Current Year-Water Meter Pricing Chart * <br /> BRAND: ,���.� .� �"� �- �_( '��. <br /> SIZE: ❑ 5!8" 3/4" ❑ 1" ❑Other " <br /> SERIAL#: � �'".;% � i--�c_� "�j �. <br /> ����������������������������� � <br /> ERT HIGN#: 1831447970 <br /> - _ _, (if applicable) <br /> ADDITIONAL INFORiv],qTIpnT_WATER METERS <br /> The undersigned hereby applies to the City of Orono for issuance of a water meter permit, agrees <br /> to do ail work in strict accordance with the ordinances of the City and rhe regulations of the State <br /> of Minnesota,and certifies that all statements made on this applicahon are, truc and correct_ <br /> Applicant: _.__— <br /> _.�� <br /> Date: <br /> � <br /> . � L� <br /> ��(� C <br /> Original.• 1-�lddressFzle <br /> ll�ake Copies For: 1-Utility Billing Department 1- Cash DraN.�er <br />