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❑ 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 /> BxAt,rD: �1-2�}'1�..Yl� <br /> SIZE: ❑5/8" �3/4" ❑ 1" ❑Other " <br /> SE�,�.#: �-q �r 5 7 b5� <br /> ERT HIGH#: III III11111IIII111111IIII p 1► <br /> �a��� (if applicable) <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 /> 04/08/2010 <br /> Applicant: Date: <br /> � �. <br /> ��� " <br /> ������: � �� <br /> Original: 1-Address File <br /> Make Copies For: 1- Utility Billing Department 1-Cash Drawer <br />