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❑ 5/8"METER- 0 3/4"METER- 4 1"METER- <br /> ❑ 5/8"HORN - 0 3/4"HORN - 1"HORN - <br /> ❑ "WATER METER (THESE WILL HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED) <br /> 1. METER FEE: $ 3 • 1 S <br /> 2. HORN FEE $ /1/1/, 4 q <br /> 3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $ $i 02 .-7y <br /> I CITY-USE ONLY I <br /> * For Current Pricing Refer to Current Year- Water Meter Pricing Chart * <br /> ED2F11RDG3 # <br /> BRAND: 53975099 <br /> SIZE: 0 5/8" ❑3/4" 3St . <br /> " ❑Other " 1111111111114313111 <br /> SERIAL#: .<3-/ 7 5-0 9ci <br /> niimlitimpulim <br /> ERT HIGH#: / .5-ii 5—q;P-.17 7( (if applicable) 1545921776 <br /> I ADDITIONAL INFORMATION—WATER METERS <br /> The undersigned hereby applies to the City of Orono for issuance of a water meter permit, agrees <br /> to do all work in strict accordance with the ordinances of the City and the regulations of the State <br /> of Minnesota, and certifies that all statements made on this application are,true and correct. <br /> Applicant: <br /> Date: -,-- -Z t$`./ <br /> p'' ./ <br /> Original: 1-Address File <br /> Make Copies For: 1- Utility Billing Department <br />