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DETERMINING PERMIT FEES <br /> ❑ SAC Charge(2007 Rate=$1,675.00) $ <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 /> ED Sewer Connection/Disconnect/Repair($35.00/Per Stub) $ . <br /> Pipe size inches;material Schd 40 air tested; fl cast iron <br /> ❑Water Connection/Disconnect/Repair($35.00/Per Stub) $ <br /> Pipe size inches;material Schd 40 air tested; f I copper <br /> 1. SUBTOTAL of Permit Requested: $ 35. <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) $ 31.00 <br /> ADDITIONAL INFORMATION-WATER METERS <br /> • WATER METERS must be picked up and paid for at Orono City Hall,these are on a separate 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 ,reby applies t. the City of Orono for issuance of a Utility Permit, agrees to do <br /> all work in -. is cordan e wit the ordinances of the City and the regulations of the State of <br /> Minnesota, •n. : ifies that • I s •�ments made on this application are,tr e and correct. <br /> Applicant: A k 1` Date: <br /> Reset Form <br /> ->" C-R--06 WAJA12-- lAjr-1)- --4 --"-frI <br /> A6kp <br />