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� <br /> = _ DETERMINING PERMIT FEES ' ; <br /> SAC Charge(2005 Rate=$1,450.00) $ <br /> (SAC Charge must accompany all sewer pernut applications unless prepaid) <br /> (Orono City Staff can deteinune if applicable) <br /> (If not prepaid,a sewer connection permit will not be issued) <br /> ❑ Sewer Connection/Disconnect/Repair($35.00/Per Stub) $ <br /> Pipe size inches;material Schd 40 air tested; cast uoii <br /> ❑Water Connection/Disconnect/Repair($35.00/Per Stub) $ <br /> Pipe size inches;material Schd 40 air tested; copper <br /> 1. SUBTOTAL of Permit 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 /> ADDITIONAL INFORMATION—WATER METERS <br /> ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a separate permit. <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: � 4.�. ,— t Date: 7 S � <br /> y, - <br /> � � <br /> ii <br /> )s} � � <br /> s <br /> i b� � i, <br />. . . � �� ��� I� �� � *:_ i� <br /> ,; ; f' <br /> . . . � �'�j � �, �I <br /> . . � ; �c�..!� � <br /> � �- � �� X f �r� �k �i� � �� � ; <br /> i 1 t�, T � 4 �' � i <br /> . li , 1� .� �' I I �, <br />. .. . . .. . . ., ,� � � � . , ., � :�. . +�� . I�: ��l� � ��:. � �J , <br />