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2007-P11194 - sewer & water connection
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744 Brown Road North - 34-118-23-12-0005
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2007-P11194 - sewer & water connection
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Last modified
8/22/2023 4:53:47 PM
Creation date
1/26/2016 10:59:30 AM
Metadata
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Template:
x Address Old
House Number
744
Street Name
Brown
Street Type
Road
Street Direction
North
Address
744 Brown Road North
Document Type
Permits/Inspections
PIN
3411823120005
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Updated
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' � £ "� .: �. �'�': DETERMINTI�G PERMIT FEES �� �,' � <br /> �� <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 /> �Sewer Connect' /Disconnect/Repair($35.00/Per Stub) $ �j��.������ <br /> � Pipe size � ' ' inches;material Schd 40 air tested; � cast iron <br /> ❑Water Connection/Disconnect/Repair ($35.00/Per Stub) $ <br /> Pipe size inches;material Schd 40 air tested; � copper <br /> � �1 <br /> 1. SUBTOTAL of Permit Requested: $ � �..�� ' <br /> 2. STATE SURCHARGE $ .50 <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ <br /> 4. TOTAL PERMIT FEE(Add Lines ]�-3 Above) $ �j��,��' <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 /> �-_ <br /> .�._------- ----- <br /> Applicant: Date: <br /> � ���� <br /> Reset Form <br />
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