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DETERMINING PERMIT FEES <br /> ❑ SAC Charge(2009 Rate=�2,000.00) � <br /> (SAC Charge must accompany all sewer permit applicaticns 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/Disconnect/Repair(��0.00/Per Stub) � <br /> Pipe size inches,material Schd 40 air tested; cast iron <br /> ❑�'ater Connection/Disconnect/Repair(�50.00/Per Stub) $ — <br /> Pipe size inches;material Schd 40 air tested; copper <br /> 1. S[iBTOTAL of Permit Requested: $_ <br /> 2. STATE SURCH:�RGE $ �5� <br /> 3. POSTAGE&HANDLING(Only on I�1ail-In Applications) $ 2.00 <br /> 4. TOTAL PER�ITT FEE(Add Lines 1-3 Above) $ <br /> ADDITIONAL INFORNIATION—WATER METERS <br /> ■ �'�'ATER METERS must be picked up and paid for at Orono City Hall,these are on a separate permit. <br /> ■ WATER 1�1ETERS 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: <br /> �s � . Reset Form <br /> �� . . <br /> .. . .. <br />