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� . <br /> )• <br /> � - <br /> WATF,R ME"I'ER 1?ER1V[IT FEES <br /> WILL B� CAULUL.ATED BY CITY S'I'AFF <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 DETERMINED) <br /> 1. METER FEE: $ � / a�� 41 <br /> 2. HORN FEE $ ! U " �,S <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: <br /> SIZE: ❑ 5/8" ❑ 3/4" ❑ 1" ❑ Other " <br /> SERIAL#: �/ ?j 9� �a2�� <br /> ERT HIGH#: ����������������������������� (if applicab]e) <br /> 1820457158 <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 Minnesota, and certifies that all statements made on this application are,true and correct. <br /> Applicant: � Date: �` a�" �+� (2 <br /> ��,. _ �' <br /> � � ,4 <br /> ` Reset Fo <br /> Original: 1-Address File <br /> Make Copies For: 1- Utiliry Billing Department 1-Cash Drawer <br />