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'� 1 <br /> :��ATEIZ METER PERMIT FEES <br /> V4'Ii,L BE CAULULATED BY CITY STAFF <br /> ❑ 5/8"METER- /4"METER- � 1"HORN - <br /> ❑ 5/8"HORN - 3/4"HORN - ❑ <br /> � "WATER METER SE 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 /> 3/4 <br /> s�,ND: 53466878 <br /> SIZE: ❑ 5/8" �-3/4" ❑ 1" ❑Other '� IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�III <br /> SEWAL#: <br /> ERT HIGH#: 15�40407800 (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 with the ordinances of the City and the regulations of the State <br /> of Minnesota, and certifies th 1 tements made on this application are,true and correct. <br /> -:� <br /> Applicant: ''�J' Date: � �a �� <br /> Original: 1-Address File <br /> Make Copies For: 1- Utiliry Billing Department <br />