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WATER MCTER PERMIT FEES <br /> WILL BE CAtJLL1LATED BY CITY STAFF � ��� � <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 /> BRAND: <br /> slzE: ❑ s�s°° ❑ 3i4�° ❑ ��� ❑otne� „ <br /> 5/8 x 3/4 <br /> SERIAL#: 6$506714 <br /> ERT HIGH#: III !I I� I�I I� I I II�I I I III II (if applicable) ���i��115401io��2�obi�� <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 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 /> / <br /> Applicant� Date: � o�� �� � <br /> Original: 1-Address File <br /> Make Copies For: 1- Utility Billing Department <br />