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. <br /> . <br /> ���'�-z �� �v� �` � .,.w: ,•,,,... -: t���k�� � ��- t�� <br /> =�2, � �T�. �, ���e ...�, s � 't <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 will not be issued) <br /> �Sewer Connection/Disconnect/Repair($35.00/Per Stub� $ �c�, �(� <br /> Pipe size inches;material Schd 40 air tested; 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) $ _ - <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ` c_7 •� � <br /> �.UDI'T'IO�+TAL TNFORMATIf)N`—WATER METERS <br /> ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a sepazate 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: �l��� <br /> �° fr�: � �� <br /> t �� � <br /> 3.w .. �... � ��.� <br />