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. <br /> A <br /> ❑SAC Charge(2008 Rate=$1,825.00) $ <br /> (SAC Charge must accompany all sewer pemut 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 Connectio /Disconnect Repair($35.00/Per Stub) $ <br /> Pipe size in , al Schd 40 air tested; cast iron <br /> ❑Water Connection/ isconnect Repair($35.00/Per Stub) $ <br /> Pipe size inches;ma nal Schd 40 air tested; copper <br /> 1. SUBTOTAL of Pernvt Requested: $ <br /> 2. STATE SURCHARGE $ .50 <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <br /> "4' � ��I�'���,���,���'-��.������ <br /> �� �. <br /> ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a s aratepernut. <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 t e City of Orono for issuance of a Utility Permit,agrees to do <br /> all work in strict acco anc�'with t ord' ces of the City and the regulations of the State of <br /> Minnesota,and ce ' �tat all st eme " made on this application are,true and correct. <br /> , � <br /> � i � <br /> % <br /> Applicant: � Iaate: � <br />