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❑ 5/8"METER- ❑ 3/4"METER- r-+"METER- <br /> 1:1 5/8"HORN - ❑ 3/4"HORN - -E!--r"HORN - <br /> ❑ "WATER METER (THESE WILL HAVE TO BE SPECIAL ORDERED&PRICES DETERMINED) <br /> 1. METER FEE: $ 3 ?R, 70 <br /> 2. HORN FEE $ ��• c o <br /> 3. TOTAL PERMIT FEE(Add Lines 1-2 Above) $ z/77. <br /> CITY-USE ONLY <br /> * For Current Pricing Refer to Currenty�reYear-Water Meter Pricing Chart * <br /> BRAND: V V�C,,./✓ iul K.� <br /> SIZE: ❑5/8" ❑3/4" th" ❑Other " <br /> SERIAL#: 5/3 90 3145 <br /> ERT HIGH#: III 11191111I11111111I III (if applicable) <br /> — 1820458158 <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 c ifies hat al s tements made on this application are,true and correct. <br /> r ' l Q <br /> Applicant: .P'/` `� ` Date: I� ��//.0 <br /> Original: 1-Address File <br /> Make Copies For: 1- Utility Billing Department 1-Cash Drawer <br />