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r <br /> � �5�x��:��: <br /> �SAC Charge(2007 Rate=$1,675.00) $ <br /> (SAC Charge must accompany all sewer permit applications unless prepaid) <br /> (Orono City Staff can determine if applicable) <br /> (If not prepaid,a sewer connection permit wilt not be issued) <br /> w <br /> �Sewer Conn tion/Disconnect/Repair($35.00/Per Stub) $ S� � <br /> Pipe size � inches;materiai�Schd 40 air tested; 0 cast iron <br /> ❑Water Connection/Disconnect/Repair($35.00/Per Stub� $ <br /> Pipe size inches;material Schd 40 air tested; copper <br /> 1. SUBTOTAL of Permit Requested: $ .�`� <br /> 2. STATE SURCHARGE $ .50 <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> w <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �J� 7 ' <br /> ' DITI(aNAL INF�RMAT'TfJN-WAT��i METERS <br /> ■ WATER METER$must be picked up and paid for at Orono City Hall,these are on a separate permit. <br /> ■ WATER METERS must be set and sealed by Orono Water Department (952) 249-4600, upon <br /> completion of ineter installation. <br /> The undersigned hereby applies to the City of Orono for issuance of a Utility Permit, agrees to do <br /> all work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifi�s that all statements made on this application are,true and correct. <br /> .,,�'-� /.��.+t,,._-�....._.�--.---_ <br /> Applicant: Date: <br /> � �S ': W ' <br /> ��� . �� `��. <br /> , i.�t�m.,�.< .� �°�,.�.� ��'. <br />