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� , , <br /> , <br /> . �'� ,. �� <br /> ❑SAC Charge(2015 Rate=52,485.00) � <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 will not be issued) <br /> �Sewer Connection/Disconnect/Repair(�50.00/Per Stuti) S <br /> pipe size�inches;material��i Schd 40 air tested; cast iron <br /> �Water Conn�tion/Disconnect/Repair($50.00/Per Stub) $ <br /> Pipe siu / inches;material F�° Schd 40 air tested; copPe�' <br /> ❑Water Availability For Future Hook Up to Water(550.00) � <br /> Water Availabilitv Ezplanatlon: <br /> Contractor installed line to inside of house for future hook-up. <br /> This line will be inspected by the Public Works Department. � <br /> Required Before Water Connec*��+*+Permit is Issued: <br /> 1. Issue Water Meter 8r.Horn Permrt <br /> 2. Any ABditional Connection Fees Paid(If Applicable) <br /> Isc»e Water Connection Permit: <br /> 1. Collect Peimit Fee&Issue Water Connection Permit <br /> 1. SUBTOTAL of Permit Requested: � <br /> 2. STATE SURCHARGE $ 1'� <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) S 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <br /> ADDITIONAL INFORMATI03�1-V�ATER METERS <br /> ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a seuarate 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 certifies that all statements made on this application are,true and correct. <br /> Applicant: � Date: 3.�y�� <br />