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- ' � ` `� DETERIVIINING PERMIT FEES � ` ,� , . <br /> ❑ SAC Charge(2005 Rate=�1,550.00) $ <br /> (SAC Charge must accompany all sewer pernut applications unless prepaid) <br /> (Orono City Staff can determuie if applicable) <br /> (If not prepaid, a sewer connection permit�vill not be issued) <br /> �Sewer Connection/ isconnect/ epair($35.00/Per Stub) $ <br /> Pipe size inc i , Schd 40 air tested; cast iron <br /> ❑ VVater Connection/Disconnect/Repair(�35.00/Per Stub) $ <br /> Pipe size inches; material Schd 40 air tested; copper <br /> l. SUBTOTAL of Peniut Requested: $ <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) $ <br /> ADDITIONAL INFORMATION—WATER 1ViETERS <br /> ■ WATER METERS must be picked up and paid for at Orono City Hall, these are on a separate pernut. <br /> ■ WATER A�ETERS must be set and sealed by Orono Wate►- Department (952) 249-4600, upon <br /> completion of inetei•installation. <br /> The undersi�med hereby applies to the City of Orono for issuance of a Utility Permit, agrees to do <br /> all work in shict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all stat�lnents made on this application are,true and conect. <br /> � � � <br /> � � �, <br /> , ., � �;3 _��, <br /> Applicantj� ��� � Date: <br />