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. <br /> � � r � <br /> ❑ SAC Charge(2009 Rate=$2,000.00) $ <br /> (SAC Charge must accompany all sewer permit applicarions unless prepaid) <br /> (Orono City Staff can determine if applicable) <br /> (If not prepaid,a sewer connection permit will not be issued) <br /> ��ewer Connection/Disconnect/Rep�r($50.00/Per Stub) $ <br /> � Pipe size�inches;material��Schd 40 air tested; cast iron <br /> �Water Connection/Disconnect/Repair($50.00/Per Stub) $ <br /> Pipe size �-- inches;material d; copper <br /> �oLy �/�;'� <br /> 1. SUBTOTAL of Permit Requested: $ <br /> 2. STATE SURCHARGE $ .50 <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applicarions) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <br /> ADL"�TTT�NAL 1NFURMAT�QN-WATER METERS <br /> ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a separate pernut. <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: � � <br />