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DETERMINING PERMIT FEES <br /> ❑ SAC Charge(2005 Rate=$1,450.00) $ <br /> (SAC Charge must accompany all sewer peimit 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 Connec 'on/Disconnect/Repair($35.00/Per Stub) $ <br /> �ipe size�inches;material Schd 40 air tested; cast uon <br /> � <br /> �ater Connection/Disconnect/Repair($35.00/Per Stub $ <br /> Pipe size�inches,material�_�sk�-�6 au tested; copper <br /> ���� <br /> 1. SUBTOTAL of Permit Re uested: � $ <br /> 9 <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 pemut. <br /> ■ WATER METERS must be set and sealed by Orono Water Department (952) 249-4600, upon <br /> completion of ineter installation. <br /> � <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 statement made on this application are,true and correct. <br /> r <br /> Applicant: Date: C <br /> � <br /> ` I <br /> � <br /> . � <br /> � <br /> ` � <br /> : � �� <br /> � <br /> „ ,� <br /> � b � <br /> ' �.5 � �:I :� '� <br /> , � � � H,` <br />