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. <br /> WATER METER PERMIT FEES <br /> WILL B�C�AULULATED BY CITY STAFF <br /> ,� 5/8"METER- ❑ 3/4"METGR- ❑ I"METER- <br /> ❑ 5/8"HORN - ❑ 3/4"HORN - ❑ 1"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 /> * For Current Pricing Refer to Current Year- Water Meter Pricing Chart * <br /> BRAND: sie X 3i4 <br /> 68506709 <br /> SIZE: ❑ 5/8" ❑ 3/4" ❑ 1" ❑ Other " II l�II III I I II II II I�II I II <br /> I <br /> SERIAL#: <br /> ERT HIGH#: (if applicable) <br /> III II IIIII I IIII I II I IIIIII I III <br /> 1540103380 <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 accardance with the ordinances of the City and the regulations of the State <br /> of Minnesota, and certifie at all statements made on this application are,true and correct. <br /> -�� ^� <br /> Applica • Date: � �'"��li� <br /> Original.• 1-Address File <br /> Make Copies For: 1- Utility Billing Department <br />