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� s- r <br /> WATER METER PERMIT �EES <br /> WILL BE CAULULATED BY CITY STAFF <br /> ❑ 5/8"METER- ❑ 3/4"METER- � 1"METER- <br /> ❑ 5/8"HORN - ❑ 3/4"HORN - l"HORN - <br /> � "WATER METER (THESE 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 /> BRAND: ED2F11 RDG3 � <br /> i,. <br /> SIZE: ❑ 5/8" ❑3/4" ❑ 1" ❑Other " 53591582 <br /> �illlll IIIII IIIII IIIII IIIII IIIII IIIiI Ilill IIII IIII <br /> SERIAL#: -- <br /> ERT HIGH#: °1°�����������������ii����� (if applicable) <br /> 1541667976 <br /> ADDITIONAL INFOiZ.MATION—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 /> Applicant: <br /> � f-� Date: �/ °Z� �L� <br /> Original: 1-Address File <br /> Make Copies For: 1- Utiliry Billing Department <br />