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2007-P11038 - sewer connect
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1295 Sixth Ave N - 26-118-23-34-0008
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2007-P11038 - sewer connect
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Last modified
8/22/2023 4:18:25 PM
Creation date
1/10/2019 11:50:38 AM
Metadata
Fields
Template:
x Address Old
House Number
1295
Street Name
6th
Street Type
Avenue
Street Direction
North
Address
1295 6th Avenue North
Document Type
Permits/Inspections
PIN
2611823340008
Supplemental fields
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Updated
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. � <br /> ' DETERMINING PERMI,T FEES _ <br /> � CZ��� � <br /> SAC Chaige(2007 Rate=�1,G75.00) �'�� $ <br /> (SAC Charge must accompany all se���er pern+�lt applications unless prepaid) <br /> (Orono City Staff can dctermine if applicable) <br /> (If ot prepaid,a se�ver connection permit will not be issued) � <br /> -�� ��J <br /> �cwer Connect' n/Disconnect/Repa' (�35.00/Per Stub) � <br /> Yipe size�inches; material�Schd 40 air tested; 0_cast iron <br /> � ❑� Water Connection/Disconnect/12epair($35.00/Per Stub) $ <br /> � / Pipc size inches; material _Schd 40 air tested; 0 copper <br /> �, ��V" <br /> � 1. SUBTOTAL of Permit Requested: $ <br /> �4' S <br /> �/ ,1 1 � (1 2. STATL SURCHARGE $ .50__ <br /> � , � �� v <br /> � ' ����3. POSTA-GE& HANDLING (Oniy on Ylail-In Applicatioi�s) � 1.50 <br /> �� �4. T�TAL PF[t�qOT F'��(Add Lines 1-; flbave) n <br /> � ADD[TIONAL INFOI�MATION -WATER METERS <br /> ■ �'�'A"I'ER�IETERS must be picked up and paid for at Orono City Hall,these are on a seoarate permit. <br /> m W,o"I'I;I� NiFTERS mast be sct and sealec� by Orouo Wate�• Dep�rtment (952) 249-4600, u�on <br /> completion of ineter installation. <br /> The undersigned hercby 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 tlle regufations of the State of <br /> Minnesota, and certifies that all statements madc on this application are, true and correct. <br /> Applicant: o„w� ` Date: 5'���� <br /> Reset Form <br />
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