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WATER METER PERMIT FEES <br /> WILL BE CAULULATED BY CITY STAFF <br /> ,� 5/8"METER-�}-G�'_�I(�i�`� ❑ 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 DETERMINED) <br /> 1. METER FEE: $ a � �. o5 <br /> 2. HORN FEE $ <br /> 3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $ oZ�P� � � <br /> CITY-USE ONLY <br /> * For Current Pricing Refer to Current Year- Water Meter Pricing Chart * <br /> BRAND: ��T-7�C,1� � <br /> s�zE: �sis�° ❑ 3i4°� ❑ ��° ❑otner „ <br /> SERIAL#: �� � � � � / � <br /> ERT HIGH#: l ���� S a a7 2� (if applicable) <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 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: 1 �l,'� Date: �I��!(�� <br /> � � <br /> Reset Form <br /> Original.• 1-Address Fi[e <br /> Make Copies For: 1- Utility Billing Department 1-Cash Drawer <br />