Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
Oct 2..1 .13 08:58a Westonka Mechanical 952-472-4961 p.3 <br /> 10/21/2913 08:49 9522494616 Ut{UNU r`""`' "` Ca Z. <br /> 'DETEi`MINI IO PERMIT FEES - • . <br /> Q SAC Charge(2013 Rate—$2,435.00) S <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 /> `,Sewer Connection!Disconnect!Repair(55(1,t10/Per Stub) 5 <br /> Pipe size?,,inches;material '%,L.Schd 40 air tested; cast iron <br /> Q Water Connection/Disconnect/Repair(550.00/Per Stub) S <br /> Pipe size inches;material Schd 40 air tested; copper <br /> Q Water Availability Fnr Future Hook-Up to Water($50.00) S <br /> Water Availability Explanation: <br /> Contractor installed line to inside of house for future hook-up. <br /> This line will be inspected by the Public Works Department. <br /> Required Before Water Connection Permit is Issued: <br /> 1. Issue Water Meter& Horn Pcrmit <br /> 2. Any Additional Connection Fees Paid(If Applicable) <br /> Issue Water Connection Permit: <br /> 1. Collect Permit Fee&Issue Water Connection Permit <br /> 1. SUBTOTAL of Permit Requested: $ �'�• 12) <br /> 2. STATE SURCHARGE $ 5,00 <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT EEE(Add Lines 1-3 Above) $ c'. CZ) <br /> ADDITIONAL INFORMATION—WATER METERS . <br /> • WATER METERS must be picked up and paid for at Orono City Halt,these arc on a sey_9rate permit. <br /> • WATER METERS must be set and sealed by Orono Water Department (952) 249-4600, 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 statements made on this application are,true and correct. <br /> Applicant: ~''/ Date: 10 —22—),i <br />