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, <br /> DETERMINING PERMIT FEES <br /> ❑ SAC Charge(2011 Rate=$2,230A0) $ <br /> (SAC Chargc must accompany all sewcr permit applications unless prepaid) <br /> (Orono City Staff can determine if applicable) <br /> (If not prepaid,a sewer connection permit�vill not be issued) � <br /> �❑ Sewer Connection/Disconnect/ Repair($SO.UU/Per Stub) $ � <br /> �� <br /> Pipe size � inches; matcrial ��I l.� Schd 40 air tested; cast iron <br /> ❑ Water Connection /Disconnect/Repair($50.00/Per Stub) $ ��� •� <br /> Pipe sizc ��� inches; material Schd 40 air tested; copper <br /> ❑ Water Availability For Future Hook-Up to Water($50.00) $ <br /> Water Availabilitv Explanation: <br /> Contractor installed line to inside of house for futtn•e hook-up. <br /> This line will be inspected by the Public Works Deparm�ent. <br /> Required Before Water Connection Permit is Issued: <br /> 1. Issue Water Meter& Horn Permit <br /> 2. Any Additional Coni�ection Fees Paid(If Applicable) <br /> Issue Water Connection Permit: <br /> 1. Collect Permit Fee& Issue Water Connection Permit <br /> I. SUBTOTAL of Pcrmit Requested: $ <br /> ' V� � � <br /> 2. STATE SURCHARGE $ 5.00 <br /> 3. POSTACE& HANDLING (Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERM17' FEE(Add Lines I-3 Above) $ � �� , � <br /> ADDITIONAL INFORMATION—WATER METERS <br /> ■ WATER M ETERS must be pickcd up and paid for at Orono City Hall,thesc are on a sepaiatc permit. <br /> • WATER METERS must be set and sealed by Orono Water Department (952) 249-4600, upon <br /> completion of ineter installation. <br /> The �mdersigned 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 tl�at all statements made on this application are, true and correct. <br /> Applicant: ��/��/w�� Date: <br /> Reset Form <br />