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L .• , <br /> . <br /> WATER METER PERMIT FLES <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 /> \, <br /> ❑ "WATER METER (THESE WILL HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED) <br /> 1. METER FEE: $ � -'� :� ' ���� <br /> 2. HORN FEE $ �l, I � QL� <br /> 3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $ ����� T � - ���; <br /> CITY-USE ONLY <br /> * For Current Pricing Refer to Current Year- Water Meter Pricing Chart * <br /> ;1 � `� � � i2C__ <br /> BRAND: u' �_��� —C� � t <br /> SIZE: ❑ 5/8" ?�] 3/4" ❑ 1" ❑ Other " <br /> SERIAL#: � �'� �" 7 ����� 1 <br /> ERT HIGH#: �. III��I���������������I�I I�I II (if applicable) <br /> 1810045112 <br /> ADDITIONAL 1NFORMATION—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 e ordinances of the City and the regulations of the State <br /> of Minnesota, and cer 'fie that al s t nts made on this application are, true and correct. <br /> Applicant: Date: ��"" ��^� � <br /> Reset Form <br /> Original: I-Adc�ress File <br /> Make Copies For: 1- Utiliry Billing Department 1- Cash Drawer <br />