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« <br /> 3 <br /> 's ���`� �`�' ��������� �DETERMINTN�G���PERMTTFEES � �� :�;�`�' �� <br /> �SAC Charge(2007 Rate=$1,675.00) $ ��75 � � <br /> �� J(SAC Charge must accompany all sewer permit applications unless prepaid) <br /> (Orono City Staff can determine 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 iron <br /> ❑Water Connection/Disconnect/Repair($35.00/Per Stub) $ <br /> Pipe size inches;material Schd 40 air tested; � copper <br /> ]. 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 far 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 wark 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: �Q9z-�.P� � �(�' Date: � � 2,3 ZUO � � <br /> Reset Form <br /> , �.�, <br /> :;���iai �:� <br /> .��� ' <br /> l _, ';i�'1`.' , <br /> f �, <br /> �"`�e:�- iJ:'?i <br /> - ,.ar.._S,.n. <br /> j <br /> � � rl ,, y ,� i'iF+y�i� '�,:' <br /> !:P:f�rr ._ _,.,.iC � <br />