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t <br /> WATER METER PERMIT FEES <br /> WILL BE CAULULATED BY CITY STAFF <br /> ❑ 5/8"METER- /4"METER- � 1" METER- <br /> � 5/8"HORN - 3/4"HORN - � 1"HORN - <br /> � "WATER METE (THESE WILL HAVE TO BE SPEC[AL ORDERED&PRICES DETERI�IINED) <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 Cunent Year- Water Meter Pricing Chart * <br /> BRAND: <br /> SIZE: ❑5/8" �/4" ❑ 1" ❑Other " <br /> SERIAL#: ��� �O� 7 <br /> ����������������������������� <br /> ERT HIGH#: �g31��3054 (if applicable) <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 rti ies that al tatements made on this application are,true and correct. <br /> Applicant: Date: � dS /� <br /> � Reset Form <br /> ��.�. <br /> Or•igir:al: 1-Address File <br /> Make Copies For: 1- Utility Billi�2g Depm�mient I- Cash Dr•ativer <br />