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,1� * <br /> 1 <br /> ^ � <br /> ' DET�RNIINING PERMIT FEES <br /> � SAC Charge(2007 Rate=$1,G75.00) $ <br /> (SAC Charge must accompany all se�ver permit applications unless prepaid) <br /> (Orono CiCy Staff can determine if applicable) <br /> (If not prepaid,a sewer connection permit will not be issued) , <br /> L�Sewer Connection/Disconnect/Re��air(�35.00/Per Stub) $ <br /> ,� .�� �� <br /> Pipe size�inches; material_�Schd 40 air tested; � cast iroil <br /> �� � <br /> ❑� �Vater Connection/Disconnect/Repair($35.00/Per Stub) � <br /> Pipe size inches; material_ ___Schd 40 air tested; 0 copper <br /> 1. SUI3TOTAL of Permit Requested: $ <br /> ?. STt1TE SURCHARGG S� . - � <br /> 3. POS1'AGE&HANDLITJG (Oniy on Mail-In Appiications) S 1.50 <br /> d. TOTAL PF.l21VIiT FEE(Add Lines 1-� tlbove) � `� ' � <br /> ADDITIONAL INFORMAT(ON - WATER MLTERS <br /> ■ ��'ATER�iGTERS must be picked up and paid for at Orono City Hall,these are on a seuaratc permit. <br /> ■ lVA1'�:R I�[�TE13S must be sct and sealeci by Orono W�ter Department (9�2) 24I-46U0, 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, anci certifies that all statements made on this application are, true and correct. <br /> Applicant:,J����� Uate: � ` � Z � � � <br /> Reset Form <br />