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' 9 <br /> I' <br /> ATER 1VIETER PERMIT FEES <br /> WILL E CAULULATED BY CITY STAFF_ r , <br /> 5/8"METER- ❑ 3/4"METER- ❑ 1"METER- <br /> 5/8"HORN - ❑ 3/4"HORN - ❑ 1"HORN - <br /> cc-/s_ <br /> ❑ "WATER METER (THESE WILL HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED) <br /> 1. METER FEE: $ 95 - 7° <br /> IIJ� r�, -7 <br /> 2. HORN FEE $ _ <br /> / �r ? <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: -Q p / <br /> SIZE: /8" ❑3/4" ❑ 1" ❑Other <br /> SERIAL#: % 0 Lr ` LP 0 U <br /> ERT HIGH#: III!I!II IIII IIII URN II (if applicable) <br /> 1831770697 <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: /1/a S/ (7 <br /> k•,Reset:Firm <br /> Original: 1-Address File <br /> Make Copies For: 1- Utility Billing Department 1-Cash Drawer <br />