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� �� �� WATER METER PERMIT FEES <br /> WILL BE CAULULATE�BY CITY STAF�' <br /> 5/8"METER- ❑ 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: $ <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 /> sie X aia <br /> B�N°: 68506�05 <br /> SIZE: ❑5/8" ❑ 3/4" ❑ 1" ❑Other " �IIII�II�.IIII�II IIIII II����III IIIII I���IIII <br /> SERIAL#: <br /> ERT HIGH#: (if applicable) <br /> III II IIIII I III II IIIIIII III III <br /> 1540094988 <br /> ADDITIONAL INFORMATION—WATER h�1ETERS <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 ardinances 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: Date: � ��v� .� <br /> Original.� 1-Address File <br /> Make Copies For: I- Utility Billing Department <br />