Laserfiche WebLink
. <br /> DETERNIINING PERMIT FEES <br /> ❑SAC Charge(2012 Rate=$2,365.00) S <br /> (SAC Charge must accompany all sewer permit appiications unless prepaid) <br /> (Orono City Staff can determine if applicable) <br /> (if not prepaid,a se rnnnection permit wili not be issaed) <br /> �ewer Conaectio /Discounect/Repair($50.00tPer St�b) S <br /> Pipe size in es;mate' Schd 40 air tested; cast iron <br /> [�Water Connectio /Disconnect Repair($50.00/Per Stub) $ <br /> Pipe size i ches;m af Schd 40 air tested; copper <br /> ❑Water Avaiia6ility For Futare Hook-Up to Water(550.0{}) $ <br /> Water Availabilitv Explanatipn: <br /> Contractor instalied line to inside of house for future hook-up. <br /> This line will be inspected by the Public Works Department <br /> Rec2uired�foce Water�onnection Petmit�s Issued: <br /> 1. Issue Water Meter&Horn Permit <br /> 2. Any Additiona(Connection Fees Paid(If Applicable) <br /> Issue Water Connection Permit: <br /> i. Collect Permit Fee&Issue Water Connection Permit <br /> 1. S13BTOTAL of Permit Requested: $ <br /> 2. STATE SURCHARGE � 5.00 <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TUTAL PERMIT FEE(Add Lines t-3 Above) S <br /> ADDITIONAL INFORMATION-WAT£R MET�,RS <br /> ■ WATER METERS must be picked up and paid for at Orono City Hall,these aze on a separate permit <br /> • WATER METERS must be set and sealed by Orono Water Depgrtment(952)249-4600, apon <br /> complction of ineter instaltstion. <br /> The undersigned hereby applies to the City of Orono for issuance of a Utility Pertnit,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 /> ApplicanE:����� Daie: `S/a� �a' � <br /> Reset FOrm <br />