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._ <br /> WATER METER PERMIT FEES � t <br /> WILL BE CAULULATED BY CITY STAFF <br /> �5/8"METER- 3/4"METER- 1"METER- <br /> ❑ ❑ <br /> ��_�-3f8"HORN - ❑ 3/4"HORN - ❑ 1"HORN - <br /> ❑ �c-' <br /> "WATER METER (THESE WII,L HAVE TO RE SPECIAL ORDERED&PRICES DETERMINED) <br /> 1. METER FEE: $ �(../�� � D J <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: �o���( ,� �--" <br /> SIZE: � 5/8" ❑ 3/4" ❑ 1" ❑ Other " <br /> SERIAL#: ��j D ���� �� � <br /> ERT HIGH#: ,�i�II IIII I II IIII IIII I II III II lf a licable <br /> 1820812702 �� 1'p ) <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 accorda e with the ordinances of the City and the regulations of the State <br /> of Minnesota, and ce ' s at 11 statements made on this application are, true and correct. <br /> Applicar{t----� - Date: �-�`0% <br /> Original: 1-Adclress File <br /> Make Copies For: 1- Utiliry Billing Department /- Cash Drawer <br />