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/ � . <br /> t � <br /> DETERIViINING PERNIIT FEES <br /> ❑SAC Cha�ge{2014 Rate=$2,485,00) S <br /> (SAC Charge must accompany all sew�er pernzit applicatioiis untess prepaid) <br /> (Orono City Stat�can deteritiine if applicable) <br /> (If not pcepaid,a sewer connectioa permit w�ill not be issued) <br /> �.Sewer Conne tion/Disconnect/Repxi�• SSO.00/Per Stub) S <br /> Pipe size�inches;materia_1 ,_n�Schd 40 air tested; cast iron <br /> ��� <br /> �WAter Connection/Disconnect/RepAj,r($50.00/Per Stub) $ <br /> Pipe size�._inches:material ,,,1�t�s'chd 40 au•tested: copper <br /> �� <br /> ❑Wxter Availxbility For Future Hook-Up to Water(S50.00) $ <br /> Wate�'AYA'IIAblI�Iy ESpIaOAIIOD: <br /> Conh•actor installed line to inside of house for fuhue hook-up. <br /> This line will be inspected by the Public Works Department. E <br /> I <br /> Renuu•ed Before Water Connection Pet�niit is Issued: � <br /> 1. Issue Water Meter&Horn Pennit <br /> 2. Any Additional Cocuiection Fees Paid(IfApplicable) � <br /> � <br /> Issue Water Connection Peniiit: � <br /> 1. Collect Pe�mit Fee&Issue Water Connection Pennit <br /> 1. SLBTOTAL of Pe�Ynit Requested: $ <br /> 2. STATE SURCHARGE $ 5.00 <br /> 3. POSTAGE&HANDLII`7G(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Luies 1-3 Aboee) S <br /> ADDITIONAL INFORMATION—WATER METERS �� <br /> • WATER METERS must be picked up and paid for at Orono City Hall,these are on a segarate uermit. <br /> ■ WATER METERS must be set aud sealed by Orono Water DepAiKiuent (952) 249-460Q, upou <br /> cotnpletlou of tuetei'�I1StRIIAII011. <br /> The undersigned hereby appli�s to the City vf Orono for issuance of a li tility Pennit, agrees to do <br /> all work in strict accordance with the ordina��ces of tlie City ancl the regulations of the State of <br /> Mumesota, and certifies thai all statements made ou tlus apglication a��e,hue u�d conect. <br /> Applicant: �1 :� Date: �./7—ap� <br />