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r <br /> DETERMINING PERMIT FEES <br /> ❑ SAC Charge(2005 Rate=$1,550.00) $ <br /> (SAC Charge must accompany all sewer pernut applications unless prepaid) <br /> (Orono City Staff can determu�e if applicable) <br /> (If not prepaid, a sewer connection permit will not be issued) <br /> �Sewer Connect�n/Disconnect/Repair($35.00/Per Stub) $ ��� <br /> Pipe size�ulches;material � Schd 40 air tested; cast iron <br /> ��'�'ater Connection/Disconnect/Repair($35.Q0/Per Stub) $ ���� <br /> Pipe size ��l iuches; material Schd 40 air tested; X copper <br /> 1. SUBTOTAL of Pernut 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—WATE�1VIETERS <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 Watei- Department (952) 249-4600, upon <br /> completion of ineter instaliation. <br /> The undersigned hereby applies to the City of Orono for issuance of a Utiliiy Permit, agrees to do <br /> all work in shict 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 con�ect. <br /> Applicant: ��"s ��z����4'-���-v�� Date: �'%.�-O� <br />