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011/03/2008 10:59 9529388910 VOSON PAGE 02/05 <br /> rhq. .•.,,1• • .:. ..y... =o'r':='!: r. ,! <br /> 12, <br /> �� uo• •^. .,�iL;S"Hh <br /> SAC Charge(2007 Rate=$1,825.00) $ <br /> (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 /> []i Sewer Connection/Disconnect 1 Repair($35.00/Per Stub) $ 3 ' C? <br /> Pipe size a inches;material sDR26 Schd 40 air tested; cast iron <br /> Water Connection/Disconnect/Repair($35.00Mer Stub) $ <br /> pipe size 9 312 inches;material "00 Schd 40 air tested; copper <br /> 1. SUBTOTAL of Permit Requested: $ <br /> 2. STATF-SURCHARGE $ .50 <br /> 3. POSTAGE&HANDING(Only on Mail-In Applications) $ <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ U <br /> ADDITIONAL INFORMATION-WATER.METERS <br /> ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a sept. <br /> ■ WATER METERS must be set and sealed by Orono Water Department (952) 244-4600, upon <br /> completion of meter 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 stateme made on this application are,true and correct. <br /> 07/03/08 <br /> Applicant: Date; <br /> �•t <br /> .i+.'s'A ..�•�,.. w' r,M.ol.'rr� :a'i�i;�:.'ML`ti <br />