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WATER METER PERMIT FEES <br /> WILL BE CAUI.ULATED BY CITY STAFF <br /> ❑ 5/8"METER- ❑ 3/4"ME'I'ER- ✓� 1„METER_ <br /> ❑ 5/8"HORN - ❑ 3/4"HORN - Q 1"HORN - <br /> ❑ "WATEB METER (THESE WILL HAVE TO BE SPECIAL ORDERED&PT2ICES DETERbIINED) <br /> .. � 1 . �`f' <br /> 1. 'vfETER FEE: $ � J� <br /> 2. HORN FEE $_� ,�� <br /> �' Il� '�G <br /> 3. TOTAL PERMTT FEE(Add Lines 1-2 Above) S_ � � <br /> , � �., <br /> CITY-USE�NLY <br /> '"For Current Pricing Refer to Cument Year-Water Meter Pricing ChaR* <br /> BRAIVD: 3......_. w..�_...�_..� ) � `�,:_.,� `.�s<--� ,. <br /> �. _- <br /> SIZE: ❑5/8" ❑3/4" ;�.�" ❑Other " <br /> SERIAL#: _..�_�.._=1_-1—��1-�L—G_-� <br /> � �- Illlllllllllllh�!111111111111 <br /> 15418�Z560'L <br /> ERT HIGH#: (if appticable) <br /> ADDITIO:�iAL INFORMATION—WATER;vIETERS <br /> The undersigned hereby applies to the Ciry 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 aIl statements made on this application aze,true and correct. <br /> Applicant'— _���� r Date: 4/2 6/1. 7 ___ <br /> Orfginul: 1-Address File <br /> Make Copies For: 1-Utility Billing Department <br />