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5/8"METER- N 3/4"METER- ❑ 1"METER- <br /> 5/8" <br /> ETER- <br /> 5/8"HORN - 7,3/4"HORN - ❑ 1"HORN - <br /> ❑ "WATER METER (THESE WILL HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED) <br /> 1. METER FEE: $ <br /> 2. HORN FEE $ w0, /V <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" [,33/4" ❑ 1" ❑Other <br /> SERIAL#: JQ/SS.-7k <br /> ERT HIGH#: / Y,31 yq 2 9 70 (if applicable) <br /> ADDI4NAL INFGRMATION—MATER METERS <br /> The undersigned hereby appliestothe 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,andce ' les that all statements made on this application are,true and correct. <br /> Applicant: Date: <br /> Original: I-Address File <br /> Make Copies For: I-Utility Billing Department <br />