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From.,:Genz�Ryan 952 767 1900 11 /19/2012 12 :21 #773 P.003/003 <br /> � <br /> , ; <br /> . I <br /> �� ` � ,�.� o-: <br /> ����.�����''re.:r- <br /> - � ���` -..y �3iv.Y'-.��.�f. <br /> a ��, � ��. <br /> .. • _ . , . ..., .� ... :,......�. �-r��-• ...... <br /> I � <br /> ❑ �/8"METER- � 3/4"METER- � 1"METER- <br /> ❑ �/8"HORN - 3/4"HORN - � l"HORN - <br /> ❑ "WATER METER (TIIESE WILL HAVE TO BF.SPECfAL ORDERED&PRICES llETERM11�iF.D) <br /> � <br /> 1. MFTER FEE: $ �� • � � <br /> 2. HORN FEE $�_._lfl�� 4 <br /> , <br /> 3. TOTAL PERMIT FEE(Add Lines 1-2 Above) � <br /> CITY-USE ONLY <br /> * Fpr Current Pricing Refer to Current Year- Water Meter Pricing Chart * <br /> I <br /> BRAND: _ <br /> SIZE: ❑5/8" �3/4" ❑ 1" ❑Other " <br /> S��AL�: — III III III III II II IIII I II III III - <br /> 1832390008 <br /> ERT HIGH#: _ (if applicable) <br /> ' ,�' ADIDITI[3NAL'1NF.OR1ViATION:—:WATER ME'I`ERS : ' ` <br /> The undersigned hereby applies to the City of Orono for issuance of a water meter permit, agrees <br /> to do all work in strict accordance with the ordinances of the City and the regulations of the State <br /> of Minnesota,and certifies that all statements made on this application are,true and conect. <br /> Applicant: Date: �O � <br /> : �#teset Farm <br /> Original: 1-Address File <br /> Moke Copies Fnr: 1- Utility$illing Depa�-tment !-Ca.rh 17rawer <br />