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f' * <br /> WATER METER PERMIT FEES <br /> WILL BE CAULULATED 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 Cunent Pricing Refer to Current Year- Water Meter Pricing Chart * 53415945 <br /> B�ND: IIIIIII IIiII III II IIIII III <br /> SIZE: ❑ 5/8" ❑ 3/4" ❑ 1" ❑ Other " <br /> SERIAL#: <br /> �fa l�cable �n0;°sao��o�fi�ii�28m <br /> ERT HIGH#: � PP ) <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 /> ;-- y � � `s- <br /> Applicant: Date: <br /> Original: 1-Address File <br /> Make Copies For: 1- Utiliry Billing Department <br />