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'�r • <br /> . � <br /> WATER METER PERMIT FEES <br /> WILL BE CAULULATED BY CITY STAFF <br /> ❑ 5/8"METER- ❑ 3/4"METER- "METER- <br /> � 5/8"HORN - ❑ 3/4"HORN - "HORN - <br /> � "WATER METER (THESE WILL HAVE TO BE SPECIAL ORDERED&PRICES DETERti1INED) <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: _ �E. �� V�-� � <br /> � <br /> SIZE: ❑ 5/8" ❑ 3/4" �-1-" ❑Other " <br /> SERIAL#: � I � / � �� <br /> ERT HIGH#: ��IIII IIIIIIIIIIIIIIII IIIIIII (if applicable) <br /> 1820458117 <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 /> Applicant: � L�`�G-r� Date: �/ � y/� � <br /> Reset Form <br /> � <br /> O�•iginal: 1-Address File <br /> Make Copies Fo�•: I- Utility Billing Depm•tment /-Cash Dr�ative�• <br />