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i . <br /> WATER METER PERMIT FEES <br /> ��� �� WILL BE CAULULAT�D BY�CITY STAFF <br /> ❑ 5/8"METER- 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 /> I. METER FEE: $ �/a, .�f� <br /> 2. HORN FEE g <br /> 3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $ �/;;�, 'j�� <br /> CITY-USE ONLY <br /> * For Current Pricing Refer to Current Year- Water Meter Pricing Chart * <br /> BRaND: �/e_;��r E��-- <br /> _� <br /> SIZE: ❑ 5/8" `�3/4" ❑ 1" ❑ Other " <br /> SERIAL#: .�/�� '7,��y <br /> ERT HIGH#: ����������������������������� (if applicable) <br /> 1820811761 <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 t all statements made on this application are, true and correct. <br /> � <br /> Applicant: Date: � �� <br /> i � <br /> Reset Form <br /> Original: 1-Address File <br /> Make Copies For: 1- Utilitl�Billing Departmenl 1-Cash D�•awer <br />