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`;,, <br /> ❑ 5/8"METER- ❑✓ 3/4"METER- � 1"METER- <br /> � 5/8"HORN - 0 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 /> CITY-USE ONLY <br /> * For Current Pricing Refer to Current Year-Water Meter Pricing Chart * <br /> BxArtD: �It-e-�"1�.V1� <br /> � <br /> SIZE: ❑5/8" �3/4" ❑ 1" ❑Other " <br /> SE�.#: �-R �5 7 b5� <br /> ERT HIGH#: IIIIIIIIIIIIIIIUIIIIIIIIflIi (if applicable) <br /> 1810053A34 <br /> ADDITIONAL INFORMATION-WATER METERS <br /> T'he 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 /> 04/08/2010 <br /> Applicant: Date: <br /> � � � a,r � � � <br /> � <br /> � � <br /> ,�� �,W. , ... �.��?�z,�.�� <br /> Original: 1-Address File <br /> Make Copies For: 1-Utiliry Billing Department 1-Cash Drawer <br />