Laserfiche WebLink
Patricia Bourgeois Ext692 (3/3) 08/30/2016 08: 14;24 AM -0500 <br /> . <br /> � ; , � ,WA�E� ,�T�R���a,����'��� r � <br /> ' �., .�LY.$�`��,'��A�'ET)��`'i'rGIjPY�TAFF` r <br /> ❑ 5/8"METER- 3/4"METER- ❑ 1"ME'T�R- <br /> ❑ 5/8"HORN - 3/4"HORN - ❑ I"HORN - <br /> ❑ "WATER METER ('fHESE WILL HAVE TO BE SPECIAL ORDEiiED&PRICES DETETtMINED) <br /> 1. METER FEE: $ <br /> 2. HORN FEE g �� <br /> 3. TOTAL PERMIT FEE(Add Lines l-2 Above) $ <br /> � CITY-USE ONLY <br /> * For Current Pricing Refer to C:urrent Year-Water Meter Pricing Chart* <br /> BRAND: <br /> SIZE: ❑ 5/8" �3/4" ❑ 1" ❑Other " <br /> SERIAL#: S�31 �'7 �� C ��� /_/�D <br /> 1 $ J�, �v w <br /> ERT HIGH#t: (if applicable) <br /> ADDITI�NAL INFORMATION—WATEI2 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, d certifies that all statements made on this application are,tr�ue and correct. <br /> Applicant: Date:�� �L.p � � <br /> .� <br /> Original.• 1-Address File <br /> Make.C.opies For: 1-Utiliry BilCing Department <br />