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, � <br /> DETERMINING PERMIT FEES <br /> ❑ SAC Charge(2005 Rate=$1,450.00) $ <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 Connection/ 'sconn Repair($35.00/Per Stub) $ <br /> Pipe size inc , terial Schd 40 air tested; cast uon <br /> �Water Connection/ isconne /Repair($35.00/Per Stub) $ <br /> Pipe size in , erial Schd 40 air tested; copper <br /> 1. 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 1-3 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 pernut. <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: �i /.3� � <br /> � <br /> �i <br /> � ,� <br /> � fi � �� <br /> 4 � <br /> � � � ; 4;II � <br /> '� � � y �', <br /> � � � ; � �� � � � ''� �' I,B�. <br /> , , . .. � � <br />