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� e <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 CurrentPricing Refer to Current Year-Water Meter Pricing Chart <br /> BRAND: <br /> SIZE: ❑518" ffAI4" ❑ I" ❑Other " <br /> SERIAL#: J� 7 S <br /> ERT HIGH#: III III III1111111II II IIII III II (if applicable) <br /> 185MIN2 <br /> ADDITIONAL INFORMATION' 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: i t Z1 <br /> Original: 1-Address File <br /> Make Copies For: I-Utility Billing Department <br />