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� • <br /> � <br /> �� �y �i <br /> ,,.{t'ny.� �}�, ��=�x���3=``�r�,,,t.i�„;������1.7'PERIVIIT FEES ���� `�—X`���x,r�;""�s`' �����F��� 7`�' <br /> ❑ SAC Charge(2005 Rate=$1,450.00) $ <br /> (SAC Charge must accompany all sewer pernut applications unless prepaid) <br /> (Orono City Staff can deterniine if applicable) <br /> (If not prepaid,a sewer connection permit will not be issued) <br /> �Sewer Connection/-�see�ect/-�ep:ei�($35.00/Per Stub) $ '_,J� L� <br /> Pipe size�inches;material�Schd 40 air tested; cast iron <br /> %�.-d �CZS--tc�l_�� `'� �--�1�;-��C;,��j:����\<_;- �� .���� �L�- ��<=�vti L��lil�C,�i um c� ��T-,��"' <br /> ❑Water Connection/Disconnect/Repair($35.00/Per Stub) $ �'��� <br /> Pipe size inches;material Schd 40 air tested; copper <br /> / <br /> i1. SUBTOTAL of Pernut Requested: $ <br /> , <br /> I 2. STATE SURCHARGE $ .50 <br /> � <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> �� 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <br /> � <br /> /, <br /> ADDITIONAL INFORMATION-WATER METERS. - <br /> , <br /> � <br /> i/ ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a separate perxnit. <br /> ■ WATER METERS must be set and sealed by Orono Water Department (952) 249-4600, upon <br /> i completion of ineter installation. <br /> i <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 /> �\ <br /> C <br /> � Applicant:��i C't:���� � ��ti�' ��� Date: �- ��--d�n <br /> � <br /> ,� <br /> � `��� a� 6�e,'n �:e r�c.k� �11� �p�.��\��� � (a o ' <br /> J <br /> �c�c�',-���-,�, ��� � �,;�', ��, bu ' u,��e.--�_ <br /> L����S , �,�� <br /> E <br /> � � <br /> i i � � <br /> � �; � � <br /> ' � � � � <br /> � s <br /> i: � � t" f�i <br /> � S'. 4 4 k., � � h� <br /> ��. ��. II S'�� n �G� {p <br /> . . ��. �. .� - . � . I. _. �'. .� I a. ,.. IS:. .M �:� �5� .. , <br />