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� <br /> WATER METER PERMIT FEES <br /> � WII.�L BE CAULULATED��Y�CITY STA�'�' �� �� <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 OKDERED&PRICES DETERMINED) <br /> l. METER FEE: $ � � � ' � 5 <br />� �Z ��� <br /> 2. HORN FEE $ <br /> � ;' l(� <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: "n�-', � �,> -� l L I lL s/s x s/a <br /> r 68506707 <br /> SIZE: ' �5/8" ❑3/4" ❑ 1" ❑Other IIIIIIIIIl�� IIIIIIIIIIIIIIIIIiII IIIIIIIIIIIII <br /> SERIAL#: — --�� #,�,_, <br /> '�� <br /> ERT HIGH#: (if applicable) <br /> III II IIIII I IIII I1IIIII I III III <br /> isaoio2i�8 <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: /a/aa ��� <br /> Original: 1-Address File <br /> Make Copies For: 1- Utiliry Billing Department <br />