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Metropolitan Waste Control Commission <br /> Mears Park Centre, 230 East Fifth Street, St. Paul, Minnesota 55101-1633 <br /> 612 222-8423 <br /> Og _ <br /> PERMIT NO. / y <br /> INTERCEPTOR <br /> APPLICATION AND PERMIT <br /> FOR CONNECTION TO, OR USE OF, <br /> METROPOLITAN WASTE CONTROL <br /> COMMISSION FACILITIES <br /> (Note: this form must be submitted in duplicate) <br /> APPLICATION <br /> The City of Orono hereby applies for a permit for <br /> connection to, or use of, Metropolitan Waste Control Commission (MWCC) <br /> facilities. A description of the proposed connection or use is attached to <br /> this Application as Exhibit A, Supplemental Data Sheet. By execution of this <br /> Application, the Applicant agrees to: <br /> 1. Provide such additional information as is requested by the MWCC in <br /> order to make a determination on permit issuance. <br /> 2 . Abide by the permit terms and conditions set forth below and all <br /> applicable state and local laws, ordinances, rules and regulations. <br /> 3 . Pay all applicable permit fees (i.e. , Service Availability Charge <br /> and Industrial Strength Charge) in accordance with MWCC rules and <br /> regulations . <br /> 4 . Reimburse the MWCC for any damages resulting to the MWCC ' s <br /> facilities as a result of the connection or use of its facilities. <br /> 5 . Indemnify and hold harmless the MWCC, its employees, agents, and <br /> contractors from and against all claims, damages, losses and expenses, <br /> including but not limited to attorney' s fees, arising out of or resulting <br /> from the connection to, or use of, MWCC facilities, provided that any such <br /> claim, damage, loss or expense (1) is attributable to bodily injury, <br /> sickness, disease, or death or to. injury to or destruction of tangible <br /> property, including the loss of use resulting therefrom, and (2) is caused in <br /> whole or in part by any negligent act or omission of the Applicant, its <br /> contractors, subcontractors, or anyone directly or indirectly employed by any <br /> of them, regardless of whether or not it is caused in part by the MWCC. <br /> Dated 1-13-94 CITY OF Orono <br /> SIGNATURE <br /> Print Name: John R. Gerhardson 413• '1�� <br /> Title: Public Works Director <br /> Page 1 of 3 <br /> Equal Opportunity/Affirmative Action Employer _01aL <br /> 16, 1 <br />