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r <br />� - <br /> � <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 deternune if applicable) <br /> (If not prepaid,a sewer connection permit will not be issued) <br /> �Sewer Connection/Disconnect/Repair($35.00/Per Stub) $ 35 � <br /> Pipe size�inches;material�Schd 40 air tested; cast uon <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 pernut. <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 rtifies t statements made on this application are,true and correct. <br /> � <br /> App icant: Date: � � � � <br /> i <br /> ' ,x .f <br /> ; �; ,, <br /> ; ,, <br /> ' 4 p <br /> _ :I <br /> ; � a � � <br /> t' � .�: � <br /> � � <br /> , , � � � A C a� <br /> �' .� � �; � <br /> ,� � � <br /> � ( <br /> � � � �� <br /> , ,. . � �., � �t�� � f ��� � �:. � . �� � . <br />