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.� -�- <br /> WATER METER PERMIT FEES <br /> WTLL 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&PR[CES DETERMINED) <br /> 1. METER FEE: $ <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: ��Q.._,Q�"(�{�J L/ <br /> SIZE: ❑ 5/8" �3/4" ❑ 1" ❑Other " <br /> SERIAL#: SI�Q�I / o� <br /> ERT HIGH#: ����������������������������I if a <br /> - 1810197858 (� pplicable) <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 /> , � �y �/ <br /> Applic Date: �J l/O <br /> � Reset Form � <br /> �':' <br /> Original.• 1-Address File <br /> Make Copies For: 1- Utility Billing Department 1-Cash Drawer <br />