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r <br /> s <br /> ';� `DETERIVIINING PERMIT;FEES;'' '� - <br /> ❑ SAC Charge(2005 Rate=$1,550.00) � <br /> (SAC Charge must accompany all sewer pernut applications wiless prepaid) <br /> (Orono City Staff can determuie if applicable) <br /> (If not prepaid,a sewer connection permit will not be issued) <br /> �.Sewer Con ection/Disconnect/Re_ pair($35.00/Per Stub) $ <br /> � Pipe size�inches;material .�� Schd 40 air tested; cast iron <br /> ❑ '��'ater Connection/Disconnect/Repair($35.00/Per Stub) $ <br /> Pipe size inches; matenal Schd 40 air tested; copper <br /> 1. SIJBTOTAL of Pernut Requested: $ <br /> 2. STATE SURCHARGE $ .50 <br /> 3. POSTAGE&HANDLING(Only on Mail-In A�plications) $ 1.50 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) � <br /> ADDITIONAL INFORMATION—WATER 1VIETERS <br /> ■ WATER METERS must be picked up and paid for at Orono City Hall, these are on a separate pernut. <br /> ■ VVATER METERS must be set and sealed by Orono Wate►- Department (952) 249-4600, upon <br /> completion of ineter installation. <br /> The undersi�rned hereby applies to the City of Orono for issuance of a Utility Permit, agrees to do <br /> all work in shict accordance with the c�, � arices of the City and the regulations of the State of <br /> Minnesota, and certi�res that all s in� s made on this application are,true and conect. <br /> � � <br /> Applicant: <br /> �'� Date: (�- /� -c�:E, <br />