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Mar 11 �3 09:36a Stewart Plumbing Inc. 763-428-1733 p,3 <br /> � <br /> WATER METER PERNIIT FEES <br /> WILL BE CAULULATED BY CITY STAFF <br /> 5J8"ME"I'ER- [] 3/4"METER- � 1"M�'I'ER- <br /> SI'8"HORN - ❑ 314"I IORN - ❑ 1>'HORN - <br /> ❑ "WATER ME7'ER I(THESE WII�I.HAVE T�BE SYECIAL ORIIERED 8c PRZCES II6TERNIINED) <br /> � �. �T�r�: $ <br /> � � <br /> 2. HORN I'L'•E <br /> ' 3. TOTA�,PERNIIT FEE(Add Line�1-Z lti.bove) $ J 1`�'� � r — <br /> _ . � _ <br /> CITY-USE �NLY <br /> * For Current Pricing Refer to Current Year -Water Meter Pricing Chart * <br /> BT2AND: / v���� �� <br /> SI"LE- ��/S"" ❑ ;/-�" ❑ ]" ❑Other " <br /> S�RIAI,#: ��`�' ! �o ` g�7 <br /> ERT HIGH#: III III II IIII I III IIIII!I!I I!!! {if applicable j <br /> 1831188126 <br /> r1DD1TION.<1I,INFQRMATION—V�'ATER 1�1ETERS <br /> Thc undersigned hcrcby applies to thc City of Orono for issnance of a water mcter permit,agrces <br /> to do alI�r•ork in strict accordance with the ordinances of the City and the regu�ations of the State <br /> vf Minnes d cerEefi�s that all statemcnis made on this application are,true and corrcct. <br /> Applicant: I�' ''/,. � � � Date: ��f�'I� <br /> Reset Form <br /> � <br /> � <br /> Ongmal_ 1-�ddress Fzl <br /> Illoke Copies Far.• 1- U !ity}3illing Depar/ment 1-Cash Drawer <br /> / <br /> I <br />