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WATER METER PE�MIT�EES <br /> ' WII,L BE CAULULATED BY CITY STAFF <br /> �"METER- <br /> ❑ 5/8"METER- ❑ 3/4"METER- n �HORN - <br /> ❑ 5/8"HORN - ❑ 3/4"HORN - `7O <br /> � "WATER METER (THESE WILL HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED) <br /> .� C,�;� <br /> 1. METER FEE: $ � � <br /> 2. HORN FEE $ I �� � <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 ED2F11 RDG3 � <br /> ,.. <br /> BR�.ND: 5359IIII�IIIIIII�IIIIIIIIIIIII <br /> SIZE: ❑ 5/8" ❑ 3/4" 1" ❑ Other " � IIIIIIIIIIIIIIIIIIIIIIII <br /> SERIAL#: �y / l�� iiunii uu i u iii m ini u ii <br /> � 1541556814 <br /> ERT HIGH#: (if applicable� <br /> ADDITIONAL INFORMATION—WATER METEI�S <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 al] statements made on this application are, true and conect. <br /> /� r, .� <br /> Applicant: IL u�^ l,'I<�h r✓���'�'� Date: `� �� �� <br /> Original: 1-Address File <br /> Make Copies For: 1- Utiliry Billing Department <br /> � <br />