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. , � <br /> WATER METER PEI�MIT FEES <br /> � � ��WILL BE CAULULATED BY CIT�' STAFF � . <br /> ❑ 5/8"METER- �3/4"METER- ❑ 1" METER- <br /> ❑ 5/8"HORN - 3/4"HORN - ❑ 1" HORN - <br /> ❑ " WATER METER (�'HESE 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" ❑ 3/4" ❑ 1" ❑ Other " <br /> SERIAL#: � .� � l Y- 7 � D <br /> ERT HIGH#: III III III III II II III I III III III (if applicable) <br /> 1852890628 <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 /> --------- . .-- —--— `�l `� !s� <br /> Applicant: � Date: <br /> Original: 1-Address File <br /> Make Copies For: I- Utility Billing Department <br />