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Y a� t <br /> - �' <br /> Y <br /> . . .� � � :t .. <br /> �k` n .,° �*h p.: � �. � <br /> � ` � v ' 1 ..'. �. �� <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: $ <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: � <br /> SIZE: ❑ 5/8" �/4" ❑ 1" ❑ Other " <br /> SERIAL#: � a � � � " �� <br /> ERT HIGH#: IIIIIIIIIIIIIIIIIIIIIIIIBIII (if applicable) <br /> 1831447917 <br /> 'ADDITIONAL INFORMATION—WATER METERS < <br /> The undersign d ereby applies to the City of Orono for issuance of a water meter permit, agrees <br /> to do all work 'n trict ord ce with the ordinances of the City and the regulations of the State <br /> of Minneso , certi i s t at 1 tat ments ma on this application are,true and correct. <br /> Applicant: Date: <br /> � z�J�� <br /> Original: 1-Address File <br /> Make Copies For: 1- Utility Billing Department 1-Cash Drawer <br />