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i <br /> DETERMINING PERNITT 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 connecfion permit will not be issued) <br /> �Sewer onnectio Disconnect/Repair($35.00/Per Stub) $ <br /> Pipe size � inches;material�_Schd 40 air tested; � cast iron <br /> � � �- <br /> (,_,( �--, <br /> '�[J Wate Conr�e ti /Disconnect/Repair($35.00/Per Stub) $ <br /> �� Pipe size inches;material ('a � � Schd 40 air tested; 0 co er <br /> �o� PP <br /> l. SUBTOTAL of Permit Requested: $ <br /> 2. STATE SURCHARGE $ .50 <br /> 3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE(Add Lines l-3 Above) $ <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 ineter 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: /— /lJ � � <br /> Reset Form <br />