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. <br /> WA'I'ER METE�R PERMIT�FEES� �� �� �� � <br /> WILL BE CAULULATED BY CITY STAFF <br /> 5/8"METER- ❑ 3/4"METER- � 1"METER- <br /> 5/8"HORN - ❑ 3/4"HORN - � 1"HORN - <br /> � "WATER METER (THESE WILL HAVE TO BE SPECIAL ORDERED&PRICES llETERMINED) <br /> I. 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: ��,p�-e� � �d�. � g8 350�� <br /> � <br /> SIZE: �5/S" ❑ 3/4" ❑ 1" ❑Other " <br /> SERIAL#: III III II IIII II II IIII I IIII II II <br /> — 1831392064 <br /> ERT HIGH#: (if applicable) <br /> ADDITIONAL 1NFORMATION—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 Minnesot ertifies that all statements made on this application are,true and correct. <br /> ,, .,�...----� <br /> ,� .-- <br /> -'' -_ /S <br /> ____-- <br /> Ap,plicant: Date: �4��i ��� �g�� <br /> / <br /> Re�et F rm <br /> �. <br /> Original: 1-Address File <br /> � Make Copies For: 1- Utility Billing Department I-Cash Drawer <br />