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<br /> ' ■ SAC Charge(2016Rate $2,485.(10)
<br /> (SAC Charge must accompany all sewe, pL,i v,i, : ,
<br /> (Orono City Staff can determine if applicahl, t.
<br /> (If not prepaid,a sewer connection pcc.o.. ,.
<br /> -Al Sewer Conntfc�ion I 1 iscQnrnect , epair(,,;;,:. A
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<br /> Pipe s4 Mc' �. a tii sun,.
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<br /> ❑". titer Connection I T)tsc�` tic ,,Repair{:::.i., , _ F
<br /> Pipe size inches; materia Scud';t, ; ,. (i. ,,
<br /> El Water Availability For Future Hook-Up i.r ;
<br /> Water Availability Explanation:
<br /> Contractor installed line to inside of house I, ,;).
<br /> AltiThis line will be inspected by the Public Work, i, , ..
<br /> Required Before Water Connection Permit i ,'' `
<br /> I. Issue Water Meter& Hon!,Permit kit,:-'-1
<br /> 2. Any Additional ConneFees I':: ;. f :) ',«
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<br /> }lr4s` ' Connection Permit; F
<br /> ,)1ect Permit F,,, „ 1.sue Water(.,,;,,.. t y,i
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<br /> i SUBTOTAL of Permit Reque .tt 7/�¢
<br /> 2. STATE SURCHARG -', ,t: 1.00 . ;. 4t .w
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<br /> POSTAGE R"N i�R i* 6litv,, ! ad-In Al I „ . :) 2.00 i�e'
<br /> ,:4. T$ t `L PERMI 4; ' v;, a i` ti . ,
<br /> 4,1.3 ,. ,,I,",� , ,, 1.t ON \VA'CEIZ ME'1 l,(ZS4. J r
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<br /> t'v'•:' ' -v-E E'STmust 'e`picked up and paid for at Orono City hilt,thrsc.:,, on a separa 1; ��.�
<br /> .y': WATE,, ,4, TERS must be set and sealed by Orono Water Departoieoot t""52) 249-4600, >up0;, �)°
<br /> ° corn a I . ...oi meter installation
<br /> ie undersigned hereby a.$ to the City of ono for issuance of a Utility Permit,agrees' t.
<br /> II work in strict .• . . �,< ordinances of the City aid the regulations of the Stag+J;
<br /> t ani certif s sta o' nts :de ott this application are,true and correct ', f `:.°r a
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