Laserfiche WebLink
T< 7,F P m @ {KM i 4C 'd k t T C i <br /> wt,t t Y, t 1 E ti[ t f, t <br /> 15/8"METER- ❑ 314` METER- ❑ 1"METER- <br /> ( "5/8"HORN - 0 3/4"HORN - 0 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) $ 3351)z <br /> apt - 3 `z>pt; <br /> * For Current.Pricing Refer to Current Year- Water Meter Pricing Chart* <br /> ED2B11RDG3 4:_ <br /> BRAND: 5/8"x 3/4" ' <br /> II 36789179 <br /> SIZE: ❑5/8" ❑3/4" ❑ 1" ❑Other IIIUI IIIII VIII IIIII VIII VIII VIII IIIII IIII IIII <br /> SERIAL#: <br /> ERT HIGH#: (if applicable) 1. 8Qg092 <br /> 0 <br /> L...IGte1-TV�,Is.. 1 ��: <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: 1pt,w i 1 4A Date: 3•ZO -ZO <br /> Original: 1-Address File <br /> Make Copies For: 1-Utility Billing Department 1-Cash Drawer <br />