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. , r <br /> WATER METER PERMIT FEES <br /> - WILL 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&PRICES DETERMINED) <br /> l. 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: �C��� <br /> SIZE: ❑ 5/8" ❑ 3/4" [� 1" ❑ Other " <br /> SEtuAL#: III III IIII II III II IIII I Ii II III <br /> 1834349779 <br /> ERT HIGH#: (if applicable) <br /> 5�z� �g o <br /> ADDITIONAL 1NFORMATION—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 /> � /' 9- i�,- ,3 <br /> Applicant: ✓ Date: <br /> Origina[.• 1-Address File <br /> Make Copies For: 1- Utiliry Billing Department I-Cash Drawer <br />