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.�,. � <br /> WATER METER PERIVIIT FEES <br /> WILL BE CAULULATE:D BY CITY STt�F'F <br /> S%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: �����--��V�� <br /> SIZE: �/8" ❑3/4" ❑ 1" ❑ Other " 11111111813�'��77509�71f1!I! <br /> SERIAL#: 9 U T'� p� �_ <br /> ERT HIGH#: � � .� � � � �j (�G'/ � (if applicab]e) <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 that all statements made on this application are,true and correct. <br /> Applicant: /' ��— Date: ��` 7��� <br /> �� <br /> � ; ��� �Reset�Form g �� <br /> Original: 1-Address File <br /> Make Copies For: 1- Utiliry Billing Department I-Cash Drawer <br />