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' - DET�RMIIvrING PERMIT FEES <br /> �SAC Chargc(2007 Rate=S1,675.00) � <br /> ` (SAC Charge il�ust accompany all sewer permit applicatio�is ut�less prepaid) <br /> (Orono Cit}� Staff can detcrmine if applicable) <br /> (If not prepaid,a sewer connection permit will not be issued) <br /> �Sewer Connection/Disconnect/Repair($35.00/Per Stub) � <br /> Pipe size �;��inches; nlaterial �J(i Schd 40 air tested; �_cast iroi� <br /> �� �'4�ater Connection/Disconnect/12epair($35.00/Per Stub) � <br /> Pipe size _inches; material_ __Schd 40 air tested; 0 cop��er <br /> 1. SUI3TOTAL of Permit Requested: $ <br /> ?. STATG SURCI-I,ARGF S .50 <br /> 3. POSTAGE&i-1r1NDLiNG (Oniy on ivtail-[n Applicltioils) $ 1.50 _ <br /> =4. TOTAL P[;atMl'1'F+'E�(Add Lines l-� Above) � <br /> ADD[TION.AL INFORMATION -WATER METERS <br /> m �1'ATER�'IE7'ERS must be picked up and paid for at Orono City Hafl,these are on a separate pern;it. <br /> ■ !S'.4'!'�R NIETEI25 musf be set and sealed by Orono �Vater UeparMient (9�2) 249-4G00, upon <br /> completion of inetcr install:ition. <br /> The undersigned hcreby applies to the City of Orono for issuance of a Utility Permit, agrces to do <br /> all w�orl: in strict accordance with the ordinances of the City and the regulations of the Siate of <br /> Minnesota, and certifies tha�ll st ments made on this application are, true and correct. <br /> � <br /> Appliclnt: � Date: � <br /> Reset Form ' <br />