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C� � <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 /> L METER FEE: $ �loZ ,�O <br /> 2. HORN FEE $ �� , p� <br /> 3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $ �j�.3, `7� <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#: <br /> ERT HIGH#: (if applicable) <br /> ADDITi�NAL TN�'ORMATIUN-WATER METEI�S <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 ce�fies that all statements made on this application are,true and conect. <br /> � i <br /> Applicant: �. 7 Date: ��-3-U� <br /> j�i �, <br /> Original: 1-Address File <br /> Make Copies For: I- Utility Billing Depariment 1-Cash Drawer <br />