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. <br /> WATER METER PERMIT �EES <br /> ' WILL BE CAULULATED BY CITY STAFF <br /> ❑ 5/8"METER- ❑ 3/4"METER- ' METER- <br /> ❑ 5/8"HORN - ❑ 3/4"HORN - ' HORN - <br /> � "WATER METER (THESE WILL HAVE TO BE SPECIAL ORD ED&PRICES DETERMINED) <br /> 1. METER FEE: $ � / 2 � D� <br /> $ ( �-�-E- . (o � <br /> 2. HORN FEE <br /> 3. TOTAL PERMIT FEE(Add Lines 1-2 Above) <br /> $ � 1 � .�7 (� <br /> CITY-USE ONLY <br /> * For Current Pricing Refer to Current Year - Water Meter Pricing Chart * <br /> BRAND: �— y� e� <br /> ED2F11 RDG3 � <br /> SIZE: ❑ 5/8" ❑ 3/4" � 1" ❑ Other " � 53591581 <br /> SE�AL#: IIIIIIIIIIIIIIIIIIII�IIIII II IIIIIIIIIIII III <br /> ERT HIGH#: (if applicable) <br /> ui iiuum u ni i unm i ui <br /> �541626820 <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 ir. 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: � Date: � <br /> Original: 1-Address File <br /> Make Copies For: 1- Utility Bil/ing Department <br />