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DETERMINING PERMIT FEES <br /> ❑ SAC Charge(2012 Rate=$2,365.00) � <br /> (SAC Charge must accompany all sewer permit applications unless prepaid) <br /> (Orono City Staff can determine if appLicable) <br /> (lf not prepaid,a sewer connection permit will not be issued) <br /> � �� <br /> �Sewer onnection/ isconnect/Repair($50.00/Per Stub) $ `��-' <br /> Pipe size inches;material�Schd 40 air tested; cast iron <br /> ❑Water Connection/Disconnect/Repair($50.00/Per Stub) $ <br /> Pipe size 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 future hook-up. <br /> This line will be inspected by the Public Works Department. <br /> Required Before Water Connection Permit is Issued: <br /> 1. Issue Water Meter&Hoin Permit <br /> 2. Any Additional Connection Fees Paid(If Applicable) <br /> lssue Water Connecrion Permit: <br /> 1. Collect Permit Fee&Issue Water Connection Permit <br /> (_,(�/ <br /> 1. SUBTOTAL of Permit Requested: $ �� <br /> 2. STATE SURCHARGE $ 5.00 <br /> 3. POSTAGE&HANDLING(Only on Mail-ln Applications) $ 2.00 <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 permit. <br /> ■ WATER METERS must be set and sealed by Orono Water Department(952) 249-4600, upon <br /> completion of ineter installation. <br /> The undersigned hereby applies to the City of Orono for issuance of a Utility Permit,agrees to do <br /> all wark 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 /> `1 �j � Z_ <br /> Applicant: _ � Date: �'yl/ �% �� <br /> Reset Form <br />