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i � <br /> 1 . <br /> WATER METER PERMIT FEES <br /> WILL BE CAULULATED BY CITY STAFF <br /> 5/8"METER- ❑ 3/4" METER- ❑ I"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 /> B�ND: N <br /> SIZE: ❑ 5/8" ❑ 3/4" ❑ 1" ❑ Other " <br /> SERIAL#: ��IIII�1I8I52I�I79I�I�IIIIII (p� 2Z�3 �� <br /> ERT HIGH#: (if applicable) <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 wlth-�k�e-or'dinances of the City and the regulations of the State <br /> of Minnesota, and certifies a 1 statements made on this application are,true and correct. <br /> � ) <br /> / ` / <br /> Applicant: ,�� Date: � � v � <br /> Original: 1-Address File <br /> Make Copies For: 1- Utility Billing Department I-Cash Drawer <br />