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I .' �'t M V LrAT 1� T'3 . . 50....i- ':=‘=e-,-1:;. -%*, <br /> 5/8"METER= ❑ <br /> ❑ 5/8"HORN 0 HORN3/4" - ❑ 1"HORN - <br /> ❑ "WATER METER (THESE WILL HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED) <br /> 1. METER FEE: $ i;5--3,1 -0 <br /> 2. HORN FEE $ <br /> 3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $ ' a 0 <br /> I CITY-USE ONLY <br /> * For Current Pricing Refer to Current Year- Water Meter Pricing Chart * <br /> ED? RD ►f-A <br /> 511 x G3 <br /> BRAND: <br /> Ak-pfg---KL-e_ B11 G3 <br /> 36789312 <br /> SIZE: ❑ 5/8" ❑ 3/4" ❑ 1" ❑Other 5, 111111111111111111111 <br /> SERIAL#: 37I iniunmmmIII Itrnnrn <br /> `J- 7� 7) 0 9.2 •49 (if applicable) 1548109284 <br /> ERT HIGH #: / ' <br /> I ADDITIONAL INFORMATION—WATER METERS I <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: �- - � Ai., <br /> Date: <br /> Original: 1-Address File <br /> Make Copies For: 1- Utility Billing Department <br />