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• <br /> o.' ,�6 B ;�C i � ¢ �k n .'"49s_ r z� d ✓ , <br /> ❑ 5/8"METER- ❑ 3/4"METER- ❑ 1"METER— <br /> 1=1 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 Current Pricing Refer to Current Year- Water Meter Pricing Chart * _-cU►rL���� ' <br /> BRAND: <br /> SIZE: ❑ 5/8" ❑3/4" ❑ 1" me her I `Z" <br /> SERIAL#: <br /> ERT HIGH#: IIIIIIII1I�II3111111 (if applicable) <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:it0g/.---- <br /> Date: //1 <br /> Original: I-Address File <br /> Make Copies For: 1- Utility Billing Department <br />