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. r <br /> WATER METER PERMIT FEES <br /> WILL BE CAULULATED BY CITY STAFF <br /> /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 DETEIL111NED) <br /> 1. METER FEE: $ � � � . �o�—� <br /> 2. HORN FEE $ � v �' �S <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: <br /> SIZE: � ��/8" ❑ 3/4" �1" ❑Other " <br /> SERIAL#: /� 5�����'S� <br /> ����������������������������� <br /> ERT HIGH#: � ����S �� �� (if applicable) 1820458142 <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: Date: �'�� 3'��� <br /> Reset Form <br /> �;`A� <br /> . <br /> Origi�zal: 1-Acldress File <br /> Mnke Copies For: /- Utiliry Billing Deparhnent 1- Cash Drawer <br />