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4 <br /> • <br /> WATER METER PERMIT FEES <br /> WILL BE CAULULATED BY CITY STAFF , Ma2; <br /> ❑ 5/8"METER- ❑ 3/4"METER- ® 1"METER- <br /> ii ❑ 5/8"HORN - El 3/4"HORN - ® 1"HORN - <br /> qLiloti <br /> 6 1 Vs."WATER METER (THESE WILL HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED) <br /> 1. METER FEE: $ Ll 1/. / 4 <br /> 2.-HORN rI E r 1.-A,)G G 1 I $ ioN, (it <br /> 3. TOTAL PERMIT FEE(Add Lines 1-2 Above) -14 $ <br /> � �. 1/5 <br /> CITY-USE ONLY <br /> * For Current Pricing Refer to Current Year- Water Meter Pricing Chart * <br /> BRAND: \tp+tkl/1 f 1atD <br /> SIZE: ❑5/8" ❑3/4" ❑ 1" Other 1 'I Z" <br /> SERIAL#: 06763X/ 3 <br /> ERT HIGH#: ����������� (if applicable) <br /> 1821163427 <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 /> 07/07/2008 <br /> Applicant: Date: <br /> /i5t.V /2�,g/,g <br /> Tu Reset Form g ; <br /> Original: 1-Address File <br /> Make Copies For.• I- Utility Billing Department 1-Cash Drawer <br />