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Mar 30 16 11:19a Lake Country Plumbing, I 9524675000 p.2 <br /> WATER METER PERMIT FE�S <br /> WII.,L BE CAULULATED BY CTTY STAFF <br /> ��,'S"MET'ER- ❑ 3/4"METER- ❑ 1„METER- <br /> ❑ 5!S"HORN - ❑ �/4"HOR'� - ❑ 1"HORN - <br /> ❑ "WATFR METER (THESE WiLL HAVE TO B�SPECIAL ORDERED&PRICES DETERMIN�D) <br /> 1. NfETER FEE: � <br /> 2. �io[t:*r r�� � <br /> 3. TOTAL PER:ti1IT FEE(Add Lines l-2 Above) $ <br /> CITY-USE ONLY <br /> * For Current Pricing Refer to Current Year-Water Meter Pricing Chart* <br /> BR�1ND: <br /> sis X aia <br /> 68506711 <br /> SIZE: ❑5/8" ❑ 3/4'l ❑ l" ❑ Other IIIII��IIIIIIIIIII IIIII I IIIIIIIIIIIIIII�� <br /> SERIAL�: <br /> �,RT HTGH#: {if applicable} <br /> I I I I I�I I I�lol I�1 gl I�1419121 I I <br /> ATl1�ITIONAL INFORMATIQN—WATER MET�RS V� � � <br /> Thc ur►dersi��ed 6ercby applies to the City of Orono for issuance of a water rneter permit,agrees <br /> to do all work in strict accordancc with the ordinanccs of the Ciry and the regulatians of the State <br /> of Minnesoca, and certifies that all statennenks made an this application are,true and correct. <br /> /% � � <br /> Applicant; ��JJ`- Date: �� ��,�S <br /> —�—� <br /> Origrnal.• 1-Address File <br /> .'l�ake Copies For-: 1- Utility Billing Department <br />