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Nov 13• 09 04: 34p p• Z <br /> � <br /> DETERMiNING PERMiT FEES �� <br /> L�snc c:i,n����aui�� K�t���z_nno.uo� x <br /> �5nc ci,:ir�,c rnust aca�mpai�y Fill �;w�r p�rmil;��plication,unlcsti prcpaid) <br /> � (Oruno C'it.y St�ifl'can Jctcrminc if<ipplicablc) <br /> O f nut prep:�id,si scwcr connection permit will not bc issucd) <br /> I I..�I 5cwer Cunnec ' /Di�conn��ct/ pnir(!�SO.Op/r'cr Stuh} � � � d � <br /> f'i�a yi��c mc ,., iateri�l___Schd nU air�esled;�_. C�54 iron <br /> Wa►tcr c;onncct- n/1)isconnecf/ �p�ir(35U.UU/Ncr 51ub) � �—� , � �_ <br /> I�i�c sirc _inc cs;m�lcrit�l Schd AO air tcslcd: copper <br /> I n W�Icr A�rilability For I'uturc HoalrUp to Wntor(�SU.OU) � <br /> ' Ws�tcr Avail�ltiilit�+ F.x�1�nHCion: <br /> Gonlraclor insl:illcd linc to inuide of h�uw for futuro hoqk-ur_ <br /> Thi�linc will he in�rac��d by �h�Pul>lic Wp�k�: f�;p�.Rm��il_ <br /> R�n��irai Rc�fom.Walcr Conncclit�n Pcrmil is Issucd: <br /> � 1. Issuc Walcr Mcicr R:Hom Pcrmit <br /> 2. Any Addilional Canncctian Fccs!'aid(If Applicahlc) <br /> I Issuc Water C;onnecr.ion 1'ermiC: <br /> iI. (;ollect Pernu�1'ec;�c ls�ue W�dcr Cunncction Pc:rmil <br /> i .., ..,.,...._._" <br /> � 1. SU6'1'07'AL of Permil f2eyues4cd: x . : ...._ .....---.. <br /> 2. S'f'/�'I"�SURC;HI�RGE '� ,5� <br /> 3. POSTAGF.&. HnN1)I,ING(Unly on M�i.il-In Applicali�ns) � 7...OU <br /> a. �roTni,rrRnhrr rrF;(ndd �,��,.::� i-� nbo��) $ l�(, • � <br /> �� ADDI"I'IONA1. 1NPpRMATION—WA'f'I�R Mk'I'}:125 � <br /> ■ �VATER MI?7'w.kti mus:t be p�ckcd up and puiil(orat Orono(:ity H�ll,thcsc:�rc�n a scnarr�lc ncrm�l. <br /> ■ �VI/A'1'/;FL Mk:�I'ERS must be xrt Had Fealed by nrnno VN�tcr nernrtment (952) 2d4-4(00, upon <br /> �omplcliun ulmeter inctallatic►n_ <br /> The undcr:i�rned h�reby applies to the City oi'Orono fnr iSsuanec oi'a lJcility Pcrmit,agrces to do <br /> all vrork in scrict ace��rilancc with tl�r. v�dinances of the City and the re�ulations of the State of <br /> Min�,csolx, .ii ert` ii7es that all ststements C Of) LF1t$ it�(�Ij(;3liUn t+re;, Lruc;3nd c:o►rCct. <br /> ! <br /> � �_ <br /> � APP'ican � -,'r�(/�_ � fj[ 1% � Datc: 1 � \r,-�v v� <br /> � <br />