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• <br /> �f,,``�r r si{ : a yt 'z t3 yy 5i 17i iM t `4x,z.,*::,, e s w.,,, ' * .. <br /> l' � r i » i W 'S� {"�€ kst �, il ;{y.. ��' ?• 9 y w ate'*' *;.:- <br /> 0 <br /> ' <br /> ,t'‘'':::,,,,,!,: { , c 1t .t t E qv � B ..6'.�'+ ° c3 zt, `�'�...... w<.. <br /> ❑ 5/8"METER- ❑ 3/4"METER- ❑ 1"METER- <br /> ID 5/8"HORN - Er 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 /> I CITY-USE ONLY I <br /> * For Current Pricing Refer to Current Year-Water Meter Pricing Chart * 3/4 <br /> 5341 II <br /> BRAND. IIllIlttIIlItIIUhIIlI5948 IIIIIIIIIu k I�IN <br /> SIZE: ❑5/8" ❑3/4" ❑ 1" ❑Other " <br /> SERIAL#: 1 081s9al <br /> ERT HIGH#: (if applicable) _ _ <br /> I ADDITIONAL INFORMATION--WATER.METERS I <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: /,/-- <br /> �: Date: Y/7--7( <br /> Original: 1-Address File <br /> Make Copies For: 1- Utility Billing Department <br />