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WATER METER PERMIT�'EES <br /> WILL BE�AULULATED BY CITY STAFF <br /> ❑ 5/8"METER- ❑ 3/4"METER- � 1"METER- <br /> ❑ 5/8"HORN - ❑ 3/4"HORN - � ]"HORN - <br /> � "WATER METER (THESE WILL HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED) <br /> 1. METER FEE: $ <br /> 2. HORN FEE $ <br /> 3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $ �--� � �� <br /> CITY-USE ONLY <br /> �_ ---__ <br /> * For Current Pricing Refer to Current Year - Water Meter Pricing Chart * \� � <br /> BRAND: �� �— 2 <br /> � � � � �� �� <br /> SIZE: ❑ 5/8" ❑ 3/4" ❑ 1" ❑Other � — --+C, �-- - <br /> SERIAL#: � � �,�3 ED2F11 RDG3 <br /> � i., � <br /> �591583 <br /> ERT HIGH#: ` IIIIIIII,IIII�IIIIIII'II II II!II III II <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: <br /> Original: 1-Address File <br /> Make Copies For: 1- Utility Billing Department <br />