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� <br /> WATER ME'I"ER PE1�MIT FEES <br /> WII,L BE CAULULA'T�D BY CITY�TAFF <br /> ❑.5/8"METER- ❑ 3/4"METER- ❑ 1"METER- <br /> 5/8"HORN„'---�� ❑ 3/4"HORN - ❑ 1"HORN - <br /> � --- <br /> i <br /> �___ "WATER-�`YETER (THESE WILL HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED) <br /> �� ���� (�' ��'��� $ �� � C � <br /> 1. METER FEE: � ' '� � <br /> ------.. __ <br /> 2. HORN FEE �---'- $ <br /> -� L, Z_ <br /> 3. TOTAL PERMIT FEE(Add Lines I-2 Above) $ •� � " <br /> CITY-USE ONLY <br /> * For Current Pricing Refer to Current Year- Water Meter Pricing Chart * <br /> BRAND: <br /> SIZE: ❑ 5/8" ❑3/4" ❑ 1" ❑Other " <br /> SERIAL#: <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 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 /> ,,.-1 <br /> 'r // <br /> ,,. ' / / <br /> Applicant: /� L-,G� /�/� Date: _�f��/ � � <br /> Original.• 1-Address File <br /> Make Copies For: 1- Utility Billing Department <br />