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� • - . <br /> DETERMINING PERMIT FEES <br /> [� SAC Chargc(2007 Rate=�1,675.00) $ <br /> (SAC Chargc must accompany all sewer permit applications unless prepaid) <br /> (Orotlo City Staff can determine if applicable) <br /> (If not prepaid,� sewer connection permit will not be issued) <br /> �„Se er Connection/ isconnect/12epair(�35.00/Per Shib) � <br /> P ' ches; material__Schd 40 air tested; 0 cast iron <br /> ��Va -r Connection Disconnect/Rep�ir(�35.00/I'er Stub) � <br /> Pi} size �nches; material_ _Schd 40 air tested; � copper <br /> l. SUBTOTAL of Permit Requested: $ <br /> 2. STATG SURCI-IARGE $ .50 <br /> 3. POS"C�1GE& HAIvDLING(Oniy on ylail-In Appiications) S 1.50 <br /> 4. TOTAL 3'E➢ZNII"II'FEE (Add Lines 1-, r�bove) n <br /> ADD[TIONAL INFORMATION -VVATER ME"I'ERS <br /> � ��'A"CER�IETEKS must be picked up and paid for at Orono City Hall,these are on a seoarate permit. <br /> � l�VA"I'l�.I2 N�L7'EAS m��st be set �nd se�►led by Orono �Vate�• Dep��•tment (9�2) 249-4G00, u�on <br /> completion of ineter installation. <br /> The undersigned hcrcbv applies to the City of Orono for issuance of a Utility Permit, agrees to do <br /> all ��ork in strict accordance with thc ordinances of the City and tlle regulations of the State of <br /> Minnesota, anci certifies that all statements made on this application are, true and correct. <br /> �� � <br /> Applicant: �` Date: � � p' <br /> Reset Form <br />